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Destroying a Facial Pain Nerve at the Skull Base

California rates for HCPCS 64610

A needle is guided through the cheek to the small opening at the base of the skull where branches of the main facial sensation nerve pass, with x-ray imaging used to confirm the position. The nerve branches are then destroyed to stop severe, electric-shock-like facial pain. It is used when medicines no longer control the pain.

Rates data updated July 2026.

How much does Destroying a Facial Pain Nerve at the Skull Base cost?

$3,981

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $3,981 for this service. Most negotiated rates run $2,570 to $6,166.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,175 to $12,882Professionalmedian $832 · 10th to 90th $417 to $1,549
$100$500$2K$10Kfacility $4,365professional $832

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
$1,698.24
Median
$5,888.44
Typical High
$17,378.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,466.84
Typical High
$12,882.50
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$3,162.28
Typical High
$6,456.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,819.70
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$537.03
Typical High
$1,288.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$851.14
Typical High
$1,621.81
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$19,498.45
Providence
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$7,244.36
Typical High
$15,135.61

Where California sits

The same service costs 21.4 times more in Indiana than in Maine. 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.

California· 6th of 50

$3,981

IN $6,310ME $295

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.