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Intercostal Nerve Block, Additional Level

West Virginia rates for HCPCS 64421

This procedure injects numbing medication around one additional intercostal nerve, one of the nerves that run along the ribs, beyond the nerve already treated in the same session, billed in addition to the main procedure. It's used when pain relief is needed across more than one rib level, such as after an injury, surgery, or for certain chronic pain conditions.

Rates data updated July 2026.

How much does Intercostal Nerve Block, Additional Level cost?

$52.48

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $1,413 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 5 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$52.48$30.20 to $95.50
FacilityA hospital or hospital-owned outpatient department$1,413$30.20 to $2,042

How much rates vary

Facilitymedian $1,413 · 10th to 90th $23 to $2,042Professionalmedian $52 · 10th to 90th $23 to $178
$20$50$100$200$500$1K$2Kfacility $1,413professional $52

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
$22.91
Median
$2,041.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$52.48
Typical High
$173.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$31.62
CareSource
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$51.29
Typical High
$1,047.13
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,621.81
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,548.82
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$83.18
Typical High
$380.19

Where West Virginia sits

The same service costs 31.6 times more in Hawaii than in Delaware. 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.

West Virginia· 45th of 51

$52.48

HI $1,023DE $32.36

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.