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Destruction Of A Peripheral Nerve For Pain Relief

Massachusetts 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?

$275

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $1,175 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 9 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$275$170 to $447
FacilityA hospital or hospital-owned outpatient department$1,175$155 to $2,512

How much rates vary

Facilitymedian $1,175 · 10th to 90th $141 to $3,715Professionalmedian $275 · 10th to 90th $126 to $692
$100$200$500$1K$2K$5Kfacility $1,175professional $275

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
$144.54
Median
$2,089.30
Typical High
$3,801.89
Aetna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,659.59
Median
$2,754.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$218.78
Typical High
$660.69
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$123.03
Median
$851.14
Typical High
$1,258.93
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,445.44
Typical High
$3,801.89
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$288.40
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$302.00
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$281.84
Typical High
$588.84
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$371.54
Typical High
$478.63
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,511.89
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$295.12
Typical High
$691.83
Health New England
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$5,370.32
Typical High
$7,943.28
Health New England
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$5,888.44
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,445.44
Typical High
$3,801.89
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$288.40
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,344.23
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$309.03
Typical High
$707.95

Where Massachusetts 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.

Massachusetts· 7th of 51

$275

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.