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Nerve Destruction for Facial Pain

Montana 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?

$1,508

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

Insurers have agreed to pay about $1,508 for this procedure. That total is two separate charges: $676 to the doctor who performs it, and $832 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$676$479 to $1,000
Facility feeThe hospital or surgery center$832$741 to $1,549

How much rates vary

Facilitymedian $832 · 10th to 90th $562 to $1,585Professionalmedian $676 · 10th to 90th $347 to $1,585
$100$200$500$1K$2K$5Kfacility $832professional $676

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
Professional
Modifier
Global
Typical Low
$316.23
Median
$549.54
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$1,288.25
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$977.24
Typical High
$1,584.89
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$977.24
Typical High
$1,584.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$724.44
Typical High
$1,230.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$660.69
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$741.31
Typical High
$1,174.90

Where Montana sits

The same service costs 6.1 times more in Indiana than in West Virginia. 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.

Physician feeFacility fee

Montana· 48th of 50

$1,508

$676 physician + $832 facility

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.