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Botulinum Toxin Injection Into Trunk Muscles

Hawaii 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?

$204

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $204 for this service. Most negotiated rates run $166 to $224.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $794 to $2,884Professionalmedian $204 · 10th to 90th $112 to $251
$50$100$200$500$1K$2Kfacility $2,818professional $204

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
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$141.25
Typical High
$199.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
HMSA
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$239.88
Typical High
$251.19
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$85.11
Median
$120.23
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$194.98
Typical High
$245.47
United
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,148.15
United
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$204.17
Typical High
$204.17
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$151.36
Typical High
$218.78

Where Hawaii 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.

Hawaii· 14th of 51

$204

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.