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Botulinum Toxin Injection Into Trunk Muscles

Kentucky 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?

$138

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $851 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 6 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$132$105 to $178
FacilityA hospital or hospital-owned outpatient department$851$174 to $3,802

How much rates vary

Facilitymedian $851 · 10th to 90th $120 to $10,715Professionalmedian $132 · 10th to 90th $95 to $257
$50.0$200.0$1.0K$5.0Kfacility $851professional $132

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
$109.65
Median
$398.11
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$141.25
Typical High
$288.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$102.33
Typical High
$144.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$173.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$812.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,445.44
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$251.19

Where Kentucky 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.

Kentucky $138 · 51st 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.