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Continuous Nerve Block for the Arm

North Dakota rates for HCPCS 64416

Places a fine catheter next to the bundle of nerves in the neck and shoulder that supplies the arm, so numbing medicine can be infused continuously instead of being given as a single injection. It provides pain relief during and for a period after shoulder, arm or hand surgery.

Rates data updated October 2026.

How much does Continuous Nerve Block for the Arm cost?

$495

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $495 for this procedure. That total is two separate charges: $148 to the doctor who performs it, and $347 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$148$126 to $170
Facility feeThe hospital or surgery center$347$64.57 to $617

How much rates vary

Facilitymedian $347 · 10th to 90th $65 to $759Professionalmedian $148 · 10th to 90th $72 to $195
$100$200$500$1K$2K$5Kfacility $347professional $148

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$109.65
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$165.96
Typical High
$194.98
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$151.36
Median
$199.53
Typical High
$234.42
BCBS North Dakota
Setting
Professional
Modifier
50 · Both sides
Typical Low
$190.55
Median
$245.47
Typical High
$288.40
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$89.13
Median
$114.82
Typical High
$134.90
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$95.50
Median
$123.03
Typical High
$144.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$147.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$162.18
Typical High
$234.42
Medica
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$346.74
Typical High
$758.58
Medica
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$141.25
Typical High
$173.78
United
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$616.60
Typical High
$758.58
United
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$125.89
Typical High
$158.49

Where North Dakota sits

The same service costs 12.2 times more in Connecticut than in Montana. 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.

Physician feeFacility fee

North Dakota· 47th of 51

$495

$148 physician + $347 facility

CT $2,815MT $231

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.