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Botulinum Toxin Injection Into Trunk Muscles

Washington, DC 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?

$166

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $166 for this service. Most negotiated rates run $117 to $302.

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.

How much rates vary

Facilitymedian $1,862 · 10th to 90th $166 to $5,129Professionalmedian $166 · 10th to 90th $112 to $302
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $1,862professional $166

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
$1,862.09
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$245.47
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$338.84
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$354.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$263.03
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,089.30
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$199.53
Typical High
$338.84

Where Washington, DC 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.

Washington, DC $166 · 38th 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.