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Nerve Destruction for Facial Pain

Missouri 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?

$2,354

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

Insurers have agreed to pay about $2,354 for this procedure. That total is two separate charges: $575 to the doctor who performs it, and $1,778 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$575$398 to $891
Facility feeThe hospital or surgery center$1,778$1,072 to $3,162

How much rates vary

Facilitymedian $1,778 · 10th to 90th $537 to $5,248Professionalmedian $575 · 10th to 90th $347 to $2,239
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,778professional $575

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
$537.03
Median
$2,344.23
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$630.96
Typical High
$2,511.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,778.28
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$416.87
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$851.14
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$691.83
Typical High
$1,288.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$776.25
Typical High
$4,365.16
Medica
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,023.29
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,630.27
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$645.65
Typical High
$1,148.15

Where Missouri 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 feeMissouri $2,354 · 33rd 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.