Numbing Injection Near the Nerve Controlling the Diaphragm

Virginia rates for HCPCS 64410

This covers an injection of numbing medication around the phrenic nerve in the neck, which controls the diaphragm, the main muscle used for breathing. It can be used to help evaluate diaphragm function, to relieve symptoms such as persistent hiccups, or as part of certain pain management or surgical planning. The injection is a short outpatient procedure.

Rates data updated October 2026.

How much does Numbing Injection Near the Nerve Controlling the Diaphragm cost?

$240

Typical physician fee. In Virginia, October 2026.

Insurers have agreed to pay about $240 for this service. Most negotiated rates run $191 to $240.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $240 · 10th to 90th $191 to $240

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $151.36	Professional	None	$144.54	$144.54	$151.36
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09	Professional	None	$457.09	$457.09	$457.09
Medcost Setting Professional Modifier None Typical Low $190.55 Median $239.88 Typical High $239.88	Professional	None	$190.55	$239.88	$239.88

Where Virginia sits

The same service costs 125.9 times more in New York than in Mississippi. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 24th of 40

$240

NY $3,162MS $25.12

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.