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Nerve Treatment for Spinal Joint Pain, Additional Level

West 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?

$1,658

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

Insurers have agreed to pay about $1,658 for this procedure. That total is two separate charges: $145 to the doctor who performs it, and $1,514 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$145$110 to $195
Facility feeThe hospital or surgery center$1,514$1,000 to $1,995

How much rates vary

Facilitymedian $1,514 · 10th to 90th $224 to $2,754Professionalmedian $145 · 10th to 90th $66 to $275
$100$200$500$1K$2Kfacility $1,514professional $145

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
$245.47
Median
$1,513.56
Typical High
$2,754.23
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,630.27
Median
$5,248.07
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$144.54
Typical High
$275.42
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$107.15
Median
$213.80
Typical High
$218.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$85.11
Typical High
$87.10
CareSource
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$257.04
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$239.88
Typical High
$1,288.25
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,819.70
Typical High
$2,041.74
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$128.82
Typical High
$338.84

Where West 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

West Virginia· 22nd of 51

$1,658

$145 physician + $1,514 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.