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Botulinum Toxin Injection Into Trunk Muscles

Maryland 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?

$155

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $123 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$155$117 to $219
FacilityA hospital or hospital-owned outpatient department$123$95.50 to $631

How much rates vary

Facilitymedian $123 · 10th to 90th $91 to $646Professionalmedian $155 · 10th to 90th $107 to $363
$100.0$200.0$500.0$1.0Kfacility $123professional $155

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
$91.20
Median
$229.09
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$446.68
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$79.43
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$316.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$309.03
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$208.93
Typical High
$257.04

Where Maryland 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.

Maryland $155 · 45th 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.