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Destruction Of A Peripheral Nerve For Pain Relief

North Dakota 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 Dakota, 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 $251 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 5 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$204 to $457
FacilityA hospital or hospital-owned outpatient department$251$117 to $251

How much rates vary

Facilitymedian $251 · 10th to 90th $117 to $1,995Professionalmedian $251 · 10th to 90th $155 to $575
$200$500$1K$2K$5Kfacility $251professional $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
$117.49
Median
$251.19
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$208.93
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$630.96
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$346.74
Median
$501.19
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$371.54
Typical High
$691.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$251.19
Typical High
$562.34
Medica
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,819.70
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$239.88
Typical High
$562.34

Where North Dakota 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 Dakota· 18th 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.