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Nerve Treatment for Spinal Joint Pain, Additional Level

South Dakota 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?

$984

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $984 for this procedure. That total is two separate charges: $324 to the doctor who performs it, and $661 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$324$145 to $589
Facility feeThe hospital or surgery center$661$437 to $1,259

How much rates vary

Facilitymedian $661 · 10th to 90th $112 to $1,380Professionalmedian $324 · 10th to 90th $65 to $708
$100$200$500$1K$2Kfacility $661professional $324

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
$660.69
Median
$1,258.93
Typical High
$2,290.87
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$457.09
Typical High
$707.95
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$83.18
Median
$95.50
Typical High
$97.72
Avera
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$741.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$295.12
Typical High
$457.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$407.38
Typical High
$2,041.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$158.49
Typical High
$426.58
Midlands
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$151.36
Typical High
$426.58
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$302.00
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$204.17
Typical High
$537.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$645.65

Where South Dakota 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

South Dakota· 35th of 51

$984

$324 physician + $661 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.