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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 July 2026.

How much does Botulinum Toxin Injection Into Trunk Muscles cost?

$166

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $166 for this service. Most negotiated rates run $129 to $229.

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 $977 to $2,884Professionalmedian $162 · 10th to 90th $107 to $257
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $2,818professional $162

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
$977.24
Median
$2,818.38
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$181.97
Typical High
$245.47
HMSA
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$239.88
Typical High
$257.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$194.98
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$239.88
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$218.78

Where Hawaii 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.

Hawaii $166 · 33rd 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.