Numbing Injection Near a Neck Nerve Controlling Heart Rate

Nationwide rates for HCPCS 64508

This covers an injection of numbing medication near a nerve structure in the neck that helps regulate heart rate and blood pressure. It is used either to help diagnose a condition or to relieve symptoms linked to that nerve, such as episodes of a racing or irregular heartbeat, dizziness, or fainting. The injection is a short outpatient procedure performed with the patient positioned to allow safe access to the area.

Rates data updated July 2026.

How much does Numbing Injection Near a Neck Nerve Controlling Heart Rate cost?

$3,162

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $3,162 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $3,802 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 22 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$151	$115 to $240
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$3,802	$2,818 to $5,370

How much rates vary

Facilitymedian $3,802 · 10th to 90th $1,349 to $10,471Professionalmedian $151 · 10th to 90th $85 to $871

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
BCBS Setting Facility Modifier Global Typical Low $2,238.72 Median $4,073.80 Typical High $11,220.18	Facility	Global	$2,238.72	$4,073.80	$11,220.18
BCBS Setting Professional Modifier Global Typical Low $46.77 Median $46.77 Typical High $58.88	Professional	Global	$46.77	$46.77	$58.88
Cigna Setting Facility Modifier Global Typical Low $95.50 Median $144.54 Typical High $457.09	Facility	Global	$95.50	$144.54	$457.09
Cigna Setting Professional Modifier Global Typical Low $95.50 Median $151.36 Typical High $239.88	Professional	Global	$95.50	$151.36	$239.88

What it costs in each state

The same service costs 173.8 times more in California than in Mississippi. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

CA $4,365MS $25.12

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.