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Destroying a Facial Pain Nerve at the Skull Base

Massachusetts 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?

$1,445

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,445 for this service. Most negotiated rates run $692 to $2,818.

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.

How much rates vary

Facilitymedian $1,445 · 10th to 90th $562 to $4,571
$500$1K$2K$5K$10Kfacility $1,445

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
$758.58
Median
$2,238.72
Typical High
$3,715.35
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$3,890.45
Typical High
$19,498.45
BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$1,258.93
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$3,311.31
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Health New England
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,949.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$3,890.45
Typical High
$19,498.45
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,981.07
Typical High
$8,709.64

Where Massachusetts 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.

Massachusetts· 34th of 50

$1,445

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.