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Destruction Of A Peripheral Nerve For Pain Relief

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $490 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$245$178 to $380
FacilityA hospital or hospital-owned outpatient department$490$245 to $1,288

How much rates vary

Facilitymedian $490 · 10th to 90th $135 to $5,248Professionalmedian $245 · 10th to 90th $115 to $525
$100$200$500$1K$2K$5K$10Kfacility $490professional $245

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
$173.78
Median
$1,047.13
Typical High
$5,754.40
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$831.76
Median
$1,000.00
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$234.42
Typical High
$512.86
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$380.19
Median
$794.33
Typical High
$1,258.93
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$398.11
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$257.04
Typical High
$436.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$602.56
Medcost
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$245.47
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,187.76
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$204.17
Typical High
$363.08
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,288.25
Typical High
$1,445.44
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,089.30

Where North Carolina 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.

North Carolina· 19th 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.