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Destruction Of A Peripheral Nerve For Pain Relief

Iowa rates for HCPCS 64640

A nerve outside the spine is deliberately destroyed so it can no longer carry pain signals. This may be done with a chemical agent, with heat, or with radiofrequency energy delivered through a needle placed at the nerve. It is generally reserved for ongoing pain from a specific nerve that has not settled with other treatment.

Rates data updated July 2026.

How much does Destruction Of A Peripheral Nerve For Pain Relief cost?

$251

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $2,239 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$251$178 to $363
FacilityA hospital or hospital-owned outpatient department$2,239$479 to $3,802

How much rates vary

Facilitymedian $2,239 · 10th to 90th $245 to $6,761Professionalmedian $251 · 10th to 90th $117 to $724
$100$200$500$1K$2K$5K$10Kfacility $2,239professional $251

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
$354.81
Median
$2,511.89
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$229.09
Typical High
$724.44
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$346.74
Typical High
$741.31
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$288.40
Typical High
$575.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$407.38
Typical High
$2,691.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$389.05
Typical High
$1,819.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$389.05
Typical High
$630.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$263.03
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,238.72
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$269.15
Typical High
$630.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$426.58
Typical High
$575.44

Where Iowa sits

The same service costs 2.1 times more in Minnesota than in Maine. 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.

Iowa· 15th of 51

$251

MN $417ME $195

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.