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Botulinum Toxin Injection Into Trunk Muscles

Alabama rates for HCPCS 64646

This procedure injects a muscle-relaxing medication, commonly known by brand names such as Botox, into a limited number of muscles in the torso to reduce excessive muscle activity, spasm, or abnormal movement. It is used to treat a smaller number of affected trunk muscles, as opposed to a more extensive treatment area.

Rates data updated July 2026.

How much does Botulinum Toxin Injection Into Trunk Muscles cost?

$178

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $832 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$155$117 to $245
FacilityA hospital or hospital-owned outpatient department$832$646 to $1,259

How much rates vary

Facilitymedian $832 · 10th to 90th $562 to $2,042Professionalmedian $155 · 10th to 90th $102 to $339
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $832professional $155

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
$562.34
Median
$954.99
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$154.88
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$954.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,148.15
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$257.04

Where Alabama sits

The same service costs 2.5 times more in California than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alabama $178 · 26th of 51
CA $347KY $138

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.