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Destruction Of The Pudendal Nerve For Chronic Pain

Utah rates for HCPCS 64630

Delivers an agent that destroys the pudendal nerve, which carries sensation from the pelvic floor, the genitals and the area around the rectum. Unlike numbing medication that wears off within hours, destroying the nerve fibers interrupts the pain pathway for a prolonged period, usually months, until the fibers slowly regrow. It is reserved for severe, persistent pelvic or genital pain that has not settled with other measures.

Rates data updated July 2026.

Facilitymedian $3,236 · 10th–90th $269$4,8980%10%10th90th$3,236Professionalmedian $316 · 10th–90th $191$1,0230%10%10th90th$316$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$269.15
Median
$3,388.44
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$316.23
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$436.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$407.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,778.28
Typical High
$2,691.53
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$588.84
Select Health
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Select Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$436.52
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,818.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$234.42
Typical High
$354.81