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Nerve Destruction for Facial Pain

Maryland 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?

$550

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $550 for this service. Most negotiated rates run $355 to $676.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $603 · 10th to 90th $331 to $1,622Professionalmedian $550 · 10th to 90th $324 to $955
$500$1K$2K$5Kfacility $603professional $550

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$549.54
Typical High
$776.25
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$676.08
Typical High
$1,380.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,288.25
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$602.56
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$588.84
Typical High
$1,202.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,258.93
Typical High
$1,659.59

Where Maryland sits

The same service costs 4.2 times more in California than in Kentucky. 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.

Maryland· 50th of 51

$550

CA $2,239KY $537

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.