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Sympathetic Nerve Block, Chest Or Lower Back Level

Washington, DC rates for HCPCS 64520

Numbing medication is injected around the sympathetic nerve chain, which runs alongside the spine and controls involuntary functions such as the tightening of blood vessels. The injection can be placed at the chest level or the lower back level, depending on the part of the body involved. It is used for certain long-standing pain and circulation problems, and also to work out whether pain is traveling through these nerves.

Rates data updated July 2026.

How much does Sympathetic Nerve Block, Chest Or Lower Back Level cost?

$245

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $245 for this service. Most negotiated rates run $85.11 to $389.

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.

How much rates vary

Facilitymedian $2,754 · 10th to 90th $85 to $7,762Professionalmedian $200 · 10th to 90th $81 to $302
$100$200$500$1K$2K$5Kfacility $2,754professional $200

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
$85.11
Median
$2,754.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$173.78
Typical High
$302.00
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$1,202.26
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$204.17
Typical High
$537.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,089.30
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$186.21
Typical High
$489.78

Where Washington, DC sits

The same service costs 5.8 times more in Hawaii than in Maine. 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.

Washington, DC· 10th of 51

$245

HI $1,000ME $174

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.