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Thoracic Nerve Block Injection

Montana rates for HCPCS 64461

A doctor injects numbing medication next to the nerves that run along the spine in the chest area, blocking pain signals from that part of the body. It is commonly used to control pain after surgery on the chest or ribs, or for other pain originating in the mid-back and chest wall. Imaging such as ultrasound or X-ray guidance may be used to place the needle precisely.

Rates data updated July 2026.

How much does Thoracic Nerve Block Injection cost?

$304

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

Insurers have agreed to pay about $304 for this procedure. That total is two separate charges: $138 to the doctor who performs it, and $166 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$138$115 to $209
Facility feeThe hospital or surgery center$166$135 to $234

How much rates vary

Facilitymedian $166 · 10th to 90th $132 to $245Professionalmedian $138 · 10th to 90th $76 to $257
$100$200$500$1K$2Kfacility $166professional $138

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
Professional
Modifier
Global
Typical Low
$72.44
Median
$131.83
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$213.80
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$245.47
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$245.47
Providence
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$141.25
Typical High
$239.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$147.91
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$245.47

Where Montana sits

The same service costs 42.1 times more in Maine than in West Virginia. 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

Montana· 48th of 50

$304

$138 physician + $166 facility

ME $10,132WV $241

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.