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Destroying a Facial Pain Nerve at the Skull Base

Washington 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.

Facilitymedian $1,230 · 10th–90th $589$6,6070%5%10%10th90th$1,230$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,949.84
Typical High
$12,302.69
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$6,025.60
Typical High
$10,471.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$562.34
Typical High
$2,630.27
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,000.00
Typical High
$1,905.46
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,445.44
Typical High
$1,548.82
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,096.48
Typical High
$1,096.48
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$5,754.40
Typical High
$10,471.29
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$6,025.60
Typical High
$11,220.18