go back

Additional Paravertebral Nerve Block Injection

Montana rates for HCPCS 64462

An add-on service for numbing medication injected next to the spine at an additional location beyond the first injection site, to block pain signals from nerves in the chest wall or abdomen area. It is provided alongside the main paravertebral nerve block procedure when more than one injection site is needed at the same visit, often for broader pain control after chest or abdominal surgery. It is a single additional injection, not an ongoing infusion.

Rates data updated October 2026.

How much does Additional Paravertebral Nerve Block Injection cost?

$175

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

Insurers have agreed to pay about $175 for this procedure. That total is two separate charges: $81.28 to the doctor who performs it, and $93.33 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$81.28$75.86 to $112
Facility feeThe hospital or surgery center$93.33$77.62 to $135

How much rates vary

Facilitymedian $93 · 10th to 90th $76 to $162Professionalmedian $81 · 10th to 90th $65 to $126
$50$100$200$500facility $93professional $81

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$70.79
Typical High
$120.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$91.20
Typical High
$112.20
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$89.13
Typical High
$144.54
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$81.28
Typical High
$141.25
Providence
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Providence
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$77.62
Typical High
$117.49
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$199.53
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$100.00
Typical High
$134.90

Where Montana sits

The same service costs 18.3 times more in Hawaii than in Kentucky. 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· 50th of 51

$175

$81.28 physician + $93.33 facility

HI $2,908KY $159

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.