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Nerve Treatment for Spinal Joint Pain, Additional Level

Michigan 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?

$668

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

Insurers have agreed to pay about $668 for this procedure. That total is two separate charges: $178 to the doctor who performs it, and $490 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$178$75.86 to $245
Facility feeThe hospital or surgery center$490$331 to $1,905

How much rates vary

Facilitymedian $490 · 10th to 90th $91 to $2,239Professionalmedian $178 · 10th to 90th $63 to $331
$100$200$500$1K$2K$5Kfacility $490professional $178

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
$91.20
Median
$436.52
Typical High
$2,238.72
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$602.56
Median
$3,162.28
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$186.21
Typical High
$331.13
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$138.04
Median
$302.00
Typical High
$660.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$91.20
Typical High
$446.68
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$177.83
Typical High
$436.52
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$190.55
Median
$870.96
Typical High
$870.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$117.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$223.87
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$173.78
Typical High
$363.08
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$346.74
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$223.87
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$1,202.26
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$162.18
Typical High
$295.12

Where Michigan 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

Michigan· 41st of 51

$668

$178 physician + $490 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.