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Spinal Accessory Nerve Block Injection

California 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 July 2026.

How much does Spinal Accessory Nerve Block Injection cost?

$4,266

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $4,266 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $4,365 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,380$1,380 to $1,380
FacilityA hospital or hospital-owned outpatient department$4,365$2,951 to $5,623

How much rates vary

Facilitymedian $4,365 · 10th to 90th $2,239 to $12,882Professionalmedian $1,380 · 10th to 90th $692 to $1,380
$100$500$2K$10Kfacility $4,365professional $1,380

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,365.16
Typical High
$12,882.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$691.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$630.96
Typical High
$1,698.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$1,288.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$131.83
Typical High
$239.88

Where California sits

The same service costs 70.8 times more in California than in Washington. 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.

California· 1st of 35

$4,266

CA $4,266WA $60.26

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.