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Spinal Accessory Nerve Block Injection

Nationwide rates for HCPCS 64412

An injection of local anesthetic around the spinal accessory nerve in the neck, the nerve that drives the large muscle running from the neck out to the shoulder. It is used to settle painful spasm or tightness in those muscles and to work out whether that nerve is the source of the pain.

Rates data updated October 2026.

How much does Spinal Accessory Nerve Block Injection cost?

$1,380

Typical negotiated rate. Nationwide, October 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $575 from a hospital or other facility.

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 24 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,380$398 to $1,380
FacilityA hospital or hospital-owned outpatient department$575$200 to $3,802

How much rates vary

Facilitymedian $575 · 10th to 90th $102 to $7,413Professionalmedian $1,380 · 10th to 90th $170 to $1,380
$100$200$500$1K$2K$5K$10Kfacility $575professional $1,380

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

Rates by insurance carrier

Insurance Carrier
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$4,677.35
Typical High
$10,000.00
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$39.81
Typical High
$70.79
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
AvMed
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$4,466.84
Typical High
$13,182.57
AvMed
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$123.03
Typical High
$158.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$354.81
Typical High
$660.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$229.09
Typical High
$446.68
DeanCare
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$147.91
Typical High
$575.44
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$173.78
Typical High
$218.78
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$151.36
Typical High
$363.08
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Health Partners
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$323.59
Typical High
$562.34
Health Partners
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$223.87
Typical High
$457.09
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$281.84
Typical High
$1,148.15
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$346.74
Typical High
$831.76
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Medcost
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$229.09
Typical High
$229.09
Medcost
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$138.04
Typical High
$275.42
Medica
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$190.55
Typical High
$1,288.25
Medica
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$257.04
Typical High
$257.04
Midlands
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Midlands
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$169.82
Typical High
$208.93
Midlands
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$275.42
Moda Health
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$199.53
Typical High
$407.38
Moda Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$107.15
Typical High
$208.93
Optum
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$281.84
Prevea360
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$147.91
Typical High
$575.44
Providence
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$204.17
Typical High
$501.19
Providence
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36

What it costs in each state

The same service costs 70.8 times more in Florida than in South Carolina. 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.

Touch or drag across the chart to see any state's rate.

FL $2,138SC $30.20

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.