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Nerve Destruction for Facial Pain

Virginia 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?

$1,768

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

Insurers have agreed to pay about $1,768 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $1,122 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$646$417 to $813
Facility feeThe hospital or surgery center$1,122$513 to $3,981

How much rates vary

Facilitymedian $1,122 · 10th to 90th $389 to $7,079Professionalmedian $646 · 10th to 90th $355 to $1,259
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,122professional $646

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
$616.60
Median
$1,995.26
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$630.96
Typical High
$1,318.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$1,071.52
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$660.69
Typical High
$1,148.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,348.96
Typical High
$1,659.59
Medcost
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,548.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$630.96
Typical High
$1,122.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Sentara
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$7,413.10
Sentara
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$870.96
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$6,165.95
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$562.34
Typical High
$1,096.48

Where Virginia 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 feeVirginia $1,768 · 44th 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.