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Destroying a Facial Pain Nerve at the Skull Base

Texas 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?

$2,089

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $2,089 for this service. Most negotiated rates run $977 to $3,802.

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 $2,089 · 10th to 90th $562 to $6,457
$500$1K$2K$5K$10Kfacility $2,089

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
$575.44
Median
$2,238.72
Typical High
$6,918.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,691.53
Typical High
$5,248.07
Christus
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$2,818.38
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$19,498.45
Typical High
$19,498.45
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$794.33
Typical High
$1,380.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$794.33
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,311.31
Typical High
$7,244.36

Where Texas 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.

Texas· 24th of 50

$2,089

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.