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Nerve Treatment for Spinal Joint Pain, Additional Level

Iowa rates for HCPCS 64634

This procedure disables small nerves that carry pain signals from a joint in the neck or upper back portion of the spine, done at an additional spinal level beyond the first one treated in the same session. The goal is longer-lasting pain relief than a temporary injection alone.

Rates data updated July 2026.

How much does Nerve Treatment for Spinal Joint Pain, Additional Level cost?

$1,384

Typical total for the visit. In Iowa, July 2026.

Insurers have agreed to pay about $1,384 for this procedure. That total is two separate charges: $209 to the doctor who performs it, and $1,175 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$209$95.50 to $363
Facility feeThe hospital or surgery center$1,175$479 to $3,388

How much rates vary

Facilitymedian $1,175 · 10th to 90th $174 to $6,457Professionalmedian $209 · 10th to 90th $65 to $575
$100$200$500$1K$2K$5K$10Kfacility $1,175professional $209

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
$190.55
Median
$2,290.87
Typical High
$6,760.83
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$138.04
Median
$4,677.35
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$194.98
Typical High
$478.63
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$95.50
Median
$162.18
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$208.93
Typical High
$724.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$295.12
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$331.13
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$363.08
Typical High
$954.99
Midlands
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$416.87
Typical High
$660.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$363.08
Typical High
$660.69
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,584.89
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$190.55
Typical High
$489.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$380.19
Typical High
$549.54

Where Iowa sits

The same service costs 24.5 times more in Connecticut 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

Iowa· 28th of 51

$1,384

$209 physician + $1,175 facility

CT $4,872MD $198

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.