go back

Destruction Of A Peripheral Nerve For Pain Relief

South 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 South 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 $339 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 8 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$191 to $347
FacilityA hospital or hospital-owned outpatient department$339$200 to $562

How much rates vary

Facilitymedian $339 · 10th to 90th $151 to $2,291Professionalmedian $251 · 10th to 90th $117 to $575
$100$200$500$1K$2Kfacility $339professional $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
$251.19
Median
$562.34
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$213.80
Typical High
$457.09
Avera
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$239.88
Typical High
$416.87
Avera
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$741.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$302.00
Typical High
$426.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$316.23
Typical High
$1,862.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$229.09
Typical High
$309.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$295.12
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$251.19
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$239.88
Typical High
$549.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$275.42
Typical High
$660.69

Where South 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.

South Dakota· 16th 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.