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Botulinum Toxin Injection Into Trunk Muscles

Massachusetts 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?

$204

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $1,288 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 8 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$204$141 to $309
FacilityA hospital or hospital-owned outpatient department$1,288$158 to $2,455

How much rates vary

Facilitymedian $1,288 · 10th to 90th $135 to $3,631Professionalmedian $204 · 10th to 90th $117 to $447
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,288professional $204

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
$158.49
Median
$2,089.30
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$489.78
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,148.15
Typical High
$3,548.13
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$194.98
Typical High
$489.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$223.87
Typical High
$426.58
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$295.12
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,511.89
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$218.78
Typical High
$446.68
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,148.15
Typical High
$3,548.13
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$194.98
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,089.30
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$229.09
Typical High
$457.09

Where Massachusetts 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.

Massachusetts $204 · 15th 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.