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Destroying a Facial Pain Nerve at the Skull Base

Montana 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?

$1,884

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

Insurers have agreed to pay about $1,884 for this procedure. That total is two separate charges: $813 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$813$759 to $1,230
Facility feeThe hospital or surgery center$1,072$776 to $1,479

How much rates vary

Facilitymedian $1,072 · 10th to 90th $759 to $1,738Professionalmedian $813 · 10th to 90th $501 to $1,288
$100$200$500$1K$2Kfacility $1,072professional $813

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$741.31
Typical High
$1,148.15
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,513.56
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$831.76
Typical High
$1,230.27
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$891.25
Typical High
$1,584.89
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$812.83
Typical High
$1,584.89
Providence
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,513.56
Typical High
$4,365.16
Providence
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$776.25
Typical High
$1,288.25
United
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,238.72
Typical High
$3,162.28
United
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$977.24
Typical High
$1,412.54

Where Montana 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

Montana· 47th of 51

$1,884

$813 physician + $1,072 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.