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Botulinum Toxin Injection Into Trunk Muscles

Arkansas 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 Arkansas, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $794 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 4 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$145$132 to $178
FacilityA hospital or hospital-owned outpatient department$794$661 to $1,318

How much rates vary

Facilitymedian $794 · 10th to 90th $178 to $1,820Professionalmedian $145 · 10th to 90th $107 to $234
$100.0$200.0$500.0$1.0K$2.0Kfacility $794professional $145

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
$177.83
Median
$1,000.00
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$954.99
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$269.15

Where Arkansas 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.

Arkansas $178 · 27th 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.