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Botulinum Toxin Injection Into Trunk Muscles

Delaware 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 October 2026.

How much does Botulinum Toxin Injection Into Trunk Muscles cost?

$148

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $339 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$141$117 to $166
FacilityA hospital or hospital-owned outpatient department$339$155 to $525

How much rates vary

Facilitymedian $339 · 10th to 90th $110 to $1,698Professionalmedian $141 · 10th to 90th $105 to $214
$100$200$500$1K$2K$5Kfacility $339professional $141

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$154.88
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$144.54
Typical High
$165.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$147.91
Typical High
$645.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$158.49
Typical High
$213.80
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
United
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$398.11
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$138.04
Typical High
$213.80
5 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$54.95
Median
$63.10
Typical High
$77.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.39
Median
$25.70
Typical High
$30.90
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$83.18
Median
$95.50
Typical High
$114.82
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$16.60
Median
$19.05
Typical High
$22.91
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.96
Median
$12.88
Typical High
$15.49

Where Delaware sits

The same service costs 3.5 times more in Alaska than in Florida. 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.

Delaware· 43rd of 51

$148

AK $468FL $132

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.