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Numbing Injection Into The Abdominal Wall (Both Sides)

California rates for HCPCS 64488

An injection of numbing medication, and sometimes a steroid, into the thin plane between layers of the abdominal wall muscles on both sides of the body to block pain signals from that area. It is commonly used to help manage pain after abdominal surgery or for chronic abdominal wall pain.

Rates data updated July 2026.

How much does Numbing Injection Into The Abdominal Wall (Both Sides) cost?

$4,510

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

Insurers have agreed to pay about $4,510 for this procedure. That total is two separate charges: $145 to the doctor who performs it, and $4,365 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 12 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$145$87.10 to $245
Facility feeThe hospital or surgery center$4,365$2,818 to $6,310

How much rates vary

Facilitymedian $4,365 · 10th to 90th $871 to $13,490Professionalmedian $145 · 10th to 90th $69 to $389
$100$500$2K$10Kfacility $4,365professional $145

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
$1,380.38
Median
$6,025.60
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$144.54
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,365.16
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$194.98
Typical High
$426.58
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$3,162.28
Typical High
$6,606.93
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$100.00
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$147.91
Typical High
$269.15
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$83.18
Typical High
$239.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$147.91
Typical High
$288.40
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$426.58
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$190.55
Providence
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$138.04
Typical High
$251.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$288.40
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$457.09
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$69.18
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,621.81
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$123.03
Typical High
$257.04

Where California sits

The same service costs 27.4 times more in New Jersey than in Maryland. 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

California· 5th of 50

$4,510

$145 physician + $4,365 facility

NJ $6,023MD $220

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.