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Destroying a Facial Pain Nerve at the Skull Base

Hawaii 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 October 2026.

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

$1,867

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $1,867 for this procedure. That total is two separate charges: $912 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$912$479 to $1,000
Facility feeThe hospital or surgery center$955$813 to $2,570

How much rates vary

Facilitymedian $955 · 10th to 90th $724 to $2,884Professionalmedian $912 · 10th to 90th $30 to $1,122
$50$100$200$500$1K$2Kfacility $955professional $912

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$2,818.38
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$588.84
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$812.83
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$912.01
Typical High
$1,258.93
United
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,511.89
Typical High
$2,570.40
United
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$977.24
Typical High
$977.24
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$562.34
Typical High
$1,122.02

Where Hawaii sits

The same service costs 3.0 times more in Colorado than in Maryland. 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

Hawaii· 49th of 51

$1,867

$912 physician + $955 facility

CO $5,106MD $1,697

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.