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Continuous Numbing Infusion Near Lumbar Plexus

South Dakota rates for HCPCS 64449

Places a fine catheter from the back alongside the lumbar plexus, the bundle of nerves in the lower back that supplies the hip, thigh and knee, and leaves it there to deliver a continuous infusion of numbing medication. Bathing the nerves steadily keeps the area numb for days, rather than the few hours a single injection lasts. It is used mainly for pain control after surgery on the hip or leg.

Rates data updated July 2026.

How much does Continuous Numbing Infusion Near Lumbar Plexus cost?

$319

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $319 for this procedure. That total is two separate charges: $129 to the doctor who performs it, and $191 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$129$61.66 to $155
Facility feeThe hospital or surgery center$191$97.72 to $2,291

How much rates vary

Facilitymedian $191 · 10th to 90th $76 to $4,365Professionalmedian $129 · 10th to 90th $52 to $186
$100.0$200.0$500.0$1.0K$2.0Kfacility $191professional $129

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$60.26
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$147.91
Typical High
$186.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$295.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$165.96
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$199.53
Typical High
$199.53
Midlands
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$186.21
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$134.90
Typical High
$204.17
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$147.91

Where South Dakota sits

The same service costs 47.3 times more in New Jersey than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeSouth Dakota $319 · 43rd of 49
NJ $5,577WV $118

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.