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Additional Paravertebral Nerve Block Injection

North Dakota 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 July 2026.

How much does Additional Paravertebral Nerve Block Injection cost?

$177

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

Insurers have agreed to pay about $177 for this procedure. That total is two separate charges: $105 to the doctor who performs it, and $72.44 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$105$74.13 to $135
Facility feeThe hospital or surgery center$72.44$50.12 to $81.28

How much rates vary

Facilitymedian $72 · 10th to 90th $47 to $1,995Professionalmedian $105 · 10th to 90th $51 to $166
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $72professional $105

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
$46.77
Median
$72.44
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$72.44
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$117.49
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$81.28
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$141.25
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$169.82

Where North Dakota sits

The same service costs 69.7 times more in New Hampshire than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeNorth Dakota $177 · 48th of 49
NH $9,004WV $129

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.