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Nerve Treatment for Spinal Joint Pain, Additional Level

Missouri 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?

$1,406

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

Insurers have agreed to pay about $1,406 for this procedure. That total is two separate charges: $117 to the doctor who performs it, and $1,288 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$117$70.79 to $269
Facility feeThe hospital or surgery center$1,288$380 to $2,818

How much rates vary

Facilitymedian $1,288 · 10th to 90th $110 to $4,365Professionalmedian $117 · 10th to 90th $63 to $468
$100$200$500$1K$2K$5Kfacility $1,288professional $117

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
$72.44
Median
$1,174.90
Typical High
$5,248.07
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$446.68
Median
$870.96
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$177.83
Typical High
$512.86
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$95.50
Median
$162.18
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$89.13
Typical High
$223.87
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$117.49
Median
$141.25
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,778.28
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$93.33
Median
$114.82
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$245.47
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$177.83
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$239.88
Typical High
$660.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$707.95
Typical High
$1,778.28
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$173.78
Typical High
$380.19

Where Missouri 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

Missouri· 27th of 51

$1,406

$117 physician + $1,288 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.