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Numbing Injection Near a Neck Nerve Controlling Heart Rate

South Dakota 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 October 2026.

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

$132

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $132 for this service. Most negotiated rates run $107 to $166.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $68 · 10th to 90th $23 to $85Professionalmedian $132 · 10th to 90th $95 to $871
$50$100$200$500facility $68professional $132

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

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$85.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$131.83
Typical High
$165.96
Medica
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Midlands
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$23.44
Typical High
$30.90
Midlands
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$158.49

Where South Dakota sits

The same service costs 123.0 times more in New York than in Mississippi. 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.

South Dakota· 23rd of 39

$132

NY $3,090MS $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.