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Nerve Destruction for Facial Pain

Massachusetts 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?

$2,284

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

Insurers have agreed to pay about $2,284 for this procedure. That total is two separate charges: $871 to the doctor who performs it, and $1,413 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$871$513 to $1,318
Facility feeThe hospital or surgery center$1,413$617 to $2,818

How much rates vary

Facilitymedian $1,413 · 10th to 90th $501 to $4,571Professionalmedian $871 · 10th to 90th $372 to $2,630
$100.0$1.0K$10.0Kfacility $1,413professional $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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$2,238.72
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$630.96
Typical High
$1,412.54
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,890.45
Typical High
$19,498.45
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$831.76
Typical High
$3,162.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$831.76
Typical High
$2,041.74
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$602.56
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$1,949.84
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,122.02
Typical High
$2,818.38
Health New England
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,890.45
Typical High
$19,498.45
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$831.76
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$954.99
Typical High
$2,818.38

Where Massachusetts sits

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 feeMassachusetts $2,284 · 35th of 50
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.