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Nerve Treatment For Lower Back Pain, Single Level

Virginia rates for HCPCS 64635

This is a procedure that uses heat generated by a needle-based device to disable a small nerve carrying pain signals from a joint connecting two vertebrae in the lower back, at a single spinal level. It is used to provide longer-lasting relief for back pain coming from that joint than a numbing injection alone.

Rates data updated July 2026.

How much does Nerve Treatment For Lower Back Pain, Single Level cost?

$1,166

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

Insurers have agreed to pay about $1,166 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $759 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$407$251 to $513
Facility feeThe hospital or surgery center$759$331 to $3,981

How much rates vary

Facilitymedian $759 · 10th to 90th $251 to $5,888Professionalmedian $407 · 10th to 90th $191 to $759
$200$500$1K$2K$5K$10Kfacility $759professional $407

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
$323.59
Median
$1,000.00
Typical High
$5,754.40
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$912.01
Median
$4,168.69
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$416.87
Typical High
$758.58
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$316.23
Median
$660.69
Typical High
$1,479.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$467.74
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$281.84
Median
$407.38
Typical High
$707.95
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$416.87
Typical High
$741.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$691.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$416.87
Typical High
$707.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Sentara
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$7,413.10
Sentara
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$6,165.95
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$389.05
Typical High
$758.58

Where Virginia sits

The same service costs 5.5 times more in Delaware 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· 49th of 51

$1,166

$407 physician + $759 facility

DE $5,392MD $986

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.