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Nerve Destruction for Facial Pain

South Dakota 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?

$1,806

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $1,806 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $955 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$851$646 to $1,349
Facility feeThe hospital or surgery center$955$575 to $1,514

How much rates vary

Facilitymedian $955 · 10th to 90th $479 to $2,692Professionalmedian $851 · 10th to 90th $339 to $1,950
$500$1K$2Kfacility $955professional $851

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
$346.74
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$645.65
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,148.15
Typical High
$2,570.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$912.01
Typical High
$1,513.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,288.25
Typical High
$6,606.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$1,348.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$1,348.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$812.83
Typical High
$1,862.09
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$2,691.53

Where South Dakota 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

South Dakota· 43rd of 50

$1,806

$851 physician + $955 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.