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Destruction Of A Peripheral Nerve For Pain Relief

Virginia 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?

$204

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $182 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 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$182$132 to $263
FacilityA hospital or hospital-owned outpatient department$490$186 to $2,818

How much rates vary

Facilitymedian $490 · 10th to 90th $120 to $5,370Professionalmedian $182 · 10th to 90th $105 to $417
$100$200$500$1K$2K$5K$10Kfacility $490professional $182

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
$151.36
Median
$1,949.84
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$416.87
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$380.19
Median
$389.05
Typical High
$467.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$173.78
Median
$257.04
Typical High
$436.52
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$223.87
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$398.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$602.56
Medcost
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$208.93
Typical High
$398.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Sentara
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$194.98
Typical High
$2,691.53
Sentara
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$323.59
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,949.84
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$213.80
Typical High
$426.58

Where Virginia 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.

Virginia· 47th of 51

$204

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.