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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 October 2026.

How much does Spinal Accessory Nerve Block Injection cost?

$1,380

Typical physician fee. In California, October 2026.

Insurers have agreed to pay about $1,380 for this service. Most negotiated rates run $1,380 to $1,380.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,467 · 10th to 90th $479 to $9,772Professionalmedian $1,380 · 10th to 90th $1,380 to $1,380
$100$200$500$1K$2K$5K$10Kfacility $4,467professional $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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$5,011.87
Typical High
$10,000.00
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Optum
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$281.84
Typical High
$501.19

Where California sits

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.

California· 5th of 36

$1,380

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.