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Destroying a Facial Pain Nerve at the Skull Base

Virginia 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?

$1,175

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $1,175 for this service. Most negotiated rates run $661 to $4,074.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,230 · 10th to 90th $513 to $7,079Professionalmedian $1,072 · 10th to 90th $832 to $1,698
$500$1K$2K$5K$10Kfacility $1,230professional $1,072

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. 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
Global
Typical Low
$812.83
Median
$2,041.74
Typical High
$7,079.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,258.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,096.48
Typical High
$1,862.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$794.33
Typical High
$1,318.26
Sentara
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$630.96
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$6,165.95
Typical High
$13,182.57

Where Virginia 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.

Virginia· 41st of 50

$1,175

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.