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Nerve Block Injection, Between The Ribs

Massachusetts rates for HCPCS 64420

This is an injection of a numbing medication around a single nerve that runs between the ribs, used to block pain signals from that area of the chest or upper abdomen wall. It targets one nerve at one level, rather than several nerves at once. It's commonly used to manage pain from shingles, rib fractures, chest surgery, or other sources of chest-wall pain.

Rates data updated July 2026.

How much does Nerve Block Injection, Between The Ribs cost?

$1,245

Typical total for the visit. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,245 for this procedure. That total is two separate charges: $123 to the doctor who performs it, and $1,122 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$123$83.18 to $186
Facility feeThe hospital or surgery center$1,122$89.13 to $2,344

How much rates vary

Facilitymedian $1,122 · 10th to 90th $68 to $3,715Professionalmedian $123 · 10th to 90th $63 to $282
$50$200$1K$5Kfacility $1,122professional $123

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$1,819.70
Typical High
$3,715.35
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$346.74
Median
$346.74
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$120.23
Typical High
$269.15
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$151.36
Median
$151.36
Typical High
$912.01
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$1,862.09
Typical High
$19,498.45
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$123.03
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$144.54
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$134.90
Typical High
$275.42
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$75.86
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$208.93
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,511.89
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$128.82
Typical High
$275.42
Health New England
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$831.76
Typical High
$1,380.38
Health New England
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$181.97
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$1,862.09
Typical High
$19,498.45
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$123.03
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,089.30
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$134.90
Typical High
$295.12

Where Massachusetts sits

The same service costs 24.2 times more in Connecticut than in Maine. 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

Massachusetts· 31st of 50

$1,245

$123 physician + $1,122 facility

CT $4,800ME $198

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.