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Nerve Destruction for Facial Pain

Nationwide rates for HCPCS 64605

Treatment for severe facial nerve pain. A needle is passed to the point at the base of the skull where the branches of the main facial sensation nerve pass through an opening in the bone, and a substance is injected that destroys the pain-carrying fibers so the attacks stop.

Rates data updated July 2026.

How much does Nerve Destruction for Facial Pain cost?

$3,597

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $3,597 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $2,951 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 68 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$646$417 to $1,000
Facility feeThe hospital or surgery center$2,951$1,175 to $5,370

How much rates vary

Facilitymedian $2,951 · 10th to 90th $562 to $8,710Professionalmedian $646 · 10th to 90th $331 to $1,862
$10.0$100.0$1.0K$10.0K$100.0K$1.0Mfacility $2,951professional $646

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
$562.34
Median
$2,691.53
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$602.56
Typical High
$1,318.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$4,168.69
Typical High
$10,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,513.56
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$741.31
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,981.07
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$616.60
Typical High
$1,380.38

What it costs in each state

The same service costs 6.1 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee
IN $6,799WV $1,112

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.