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Continuous Abdominal Wall Nerve Block, One Side

Montana rates for HCPCS 64487

Numbs the nerves supplying the abdominal wall on one side by placing a fine catheter into the layer between the abdominal muscles and running local anesthetic through it continuously. Ultrasound is used to guide the needle into place when needed. Because it keeps working over time rather than wearing off after a single injection, it is used for ongoing pain relief after abdominal surgery or injury.

Rates data updated October 2026.

How much does Continuous Abdominal Wall Nerve Block, One Side cost?

$320

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

Insurers have agreed to pay about $320 for this procedure. That total is two separate charges: $120 to the doctor who performs it, and $200 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$120$95.50 to $324
Facility feeThe hospital or surgery center$200$97.72 to $427

How much rates vary

Facilitymedian $200 · 10th to 90th $95 to $457Professionalmedian $120 · 10th to 90th $79 to $355
$100$200$500facility $200professional $120

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
$61.66
Median
$162.18
Typical High
$309.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$134.90
Typical High
$338.84
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$120.23
Typical High
$457.09
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$102.33
Typical High
$446.68
Providence
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Providence
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$100.00
Typical High
$338.84
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$199.53
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$158.49
Typical High
$323.59

Where Montana sits

The same service costs 13.1 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· 46th of 51

$320

$120 physician + $200 facility

HI $3,088KY $236

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.