go back

Nerve Treatment for Spinal Joint Pain, Additional Level

Maryland 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?

$198

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

Insurers have agreed to pay about $198 for this procedure. That total is two separate charges: $162 to the doctor who performs it, and $36.31 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$162$70.79 to $251
Facility feeThe hospital or surgery center$36.31$1.00 to $63.10

How much rates vary

Facilitymedian $36 · 10th to 90th $1 to $331Professionalmedian $162 · 10th to 90th $63 to $355
$1$10$100$1Kfacility $36professional $162

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
$0.98
Median
$1.00
Typical High
$26.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$177.83
Typical High
$346.74
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$107.15
Median
$257.04
Typical High
$457.09
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$186.21
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$40.74
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$158.49
Typical High
$363.08
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$426.58

Where Maryland 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

Maryland· 51st of 51

$198

$162 physician + $36.31 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.