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Botulinum Toxin Injection Into Trunk Muscles

Iowa 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?

$224

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $2,239 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 7 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$195$141 to $275
FacilityA hospital or hospital-owned outpatient department$2,239$331 to $3,802

How much rates vary

Facilitymedian $2,239 · 10th to 90th $178 to $6,761Professionalmedian $195 · 10th to 90th $110 to $550
$1.0$10.0$100.0$1.0K$10.0Kfacility $2,239professional $195

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
$223.87
Median
$3,388.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$165.96
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$316.23
Typical High
$457.09
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$204.17
Typical High
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$309.03
Typical High
$2,290.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$302.00
Typical High
$831.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$512.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,819.70
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$398.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$245.47
Typical High
$354.81

Where Iowa 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.

Iowa $224 · 9th 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.