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Destruction Of A Peripheral Nerve For Pain Relief

West 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?

$219

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $1,445 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$195$117 to $263
FacilityA hospital or hospital-owned outpatient department$1,445$1,230 to $6,457

How much rates vary

Facilitymedian $1,445 · 10th to 90th $117 to $6,457Professionalmedian $195 · 10th to 90th $102 to $437
$100$200$500$1K$2K$5Kfacility $1,445professional $195

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
$1,995.26
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$173.78
Typical High
$436.52
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$380.19
Median
$380.19
Typical High
$389.05
CareSource
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$151.36
CareSource
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$194.98
Typical High
$194.98
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
$117.49
Median
$257.04
Typical High
$1,288.25
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$2,511.89
Typical High
$6,309.57
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$4,570.88
Highmark BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$1,548.82
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$208.93
Typical High
$389.05

Where West 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.

West Virginia· 37th of 51

$219

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.