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Nerve Treatment for Spinal Joint Pain, Additional Level

Virginia 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?

$450

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

Insurers have agreed to pay about $450 for this procedure. That total is two separate charges: $148 to the doctor who performs it, and $302 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$148$77.62 to $263
Facility feeThe hospital or surgery center$302$112 to $1,549

How much rates vary

Facilitymedian $302 · 10th to 90th $76 to $5,248Professionalmedian $148 · 10th to 90th $66 to $372
$100$200$500$1K$2K$5K$10Kfacility $302professional $148

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
$112.20
Median
$467.74
Typical High
$5,754.40
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$190.55
Typical High
$371.54
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$72.44
Median
$323.59
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$97.72
Median
$141.25
Typical High
$245.47
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$173.78
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$398.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$190.55
Typical High
$371.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Sentara
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$1,288.25
Sentara
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$147.91
Typical High
$354.81

Where Virginia 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

Virginia· 50th of 51

$450

$148 physician + $302 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.