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Numbing Injection to a Group of Neck Nerves

Virginia rates for HCPCS 64413

This covers an injection of numbing medication around a cluster of nerves in the side of the neck known as the cervical plexus, which supplies feeling and some muscle control to the neck and shoulder area. It is used to numb the area for a surgical procedure, such as certain neck or thyroid surgeries, or to help manage pain in that region. The injection is guided to the correct location using anatomical landmarks or imaging.

Rates data updated July 2026.

How much does Numbing Injection to a Group of Neck Nerves cost?

$178

Typical physician fee. In Virginia, July 2026.

Insurers have agreed to pay about $178 for this service. Most negotiated rates run $123 to $200.

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 $178 · 10th to 90th $117 to $200
$200$500professional $178

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$123.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$190.55
Typical High
$199.53

Where Virginia sits

The same service costs 173.8 times more in California 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· 29th of 39

$178

CA $4,365MS $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.