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Destruction Of A Peripheral Nerve For Pain Relief

Missouri 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?

$245

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $1,698 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$204$132 to $302
FacilityA hospital or hospital-owned outpatient department$1,698$676 to $3,020

How much rates vary

Facilitymedian $1,698 · 10th to 90th $204 to $5,248Professionalmedian $204 · 10th to 90th $112 to $741
$100$200$500$1K$2K$5Kfacility $1,698professional $204

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
$120.23
Median
$1,995.26
Typical High
$7,413.10
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,000.00
Median
$1,778.28
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$204.17
Typical High
$758.58
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$524.81
Median
$1,202.26
Typical High
$1,258.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,778.28
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$147.91
Median
$269.15
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$204.17
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$223.87
Typical High
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$245.47
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$389.05
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,047.13
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$245.47
Typical High
$407.38

Where Missouri 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.

Missouri· 21st of 51

$245

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.