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Nerve Destruction for Facial Pain

Washington 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?

$1,923

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

Insurers have agreed to pay about $1,923 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $1,072 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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$851$550 to $1,259
Facility feeThe hospital or surgery center$1,072$676 to $2,291

How much rates vary

Facilitymedian $1,072 · 10th to 90th $437 to $6,607Professionalmedian $851 · 10th to 90th $389 to $1,778
$100.0$1.0K$10.0Kfacility $1,072professional $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
$794.33
Median
$2,041.74
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$851.14
Typical High
$2,089.30
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$6,025.60
Typical High
$10,471.29
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$933.25
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$562.34
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$851.14
Typical High
$2,041.74
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$794.33
Typical High
$1,995.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$758.58
Typical High
$1,819.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$371.54
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,202.26
Typical High
$1,737.80
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,258.93
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,258.93
Typical High
$1,862.09
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$5,754.40
Typical High
$10,471.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$891.25
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$6,025.60
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$812.83
Typical High
$1,621.81
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$870.96
Typical High
$1,584.89

Where Washington 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 feeWashington $1,923 · 41st 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.