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Botulinum Toxin Injection Into Trunk Muscles

Michigan 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?

$158

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $2,042 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$129 to $200
FacilityA hospital or hospital-owned outpatient department$2,042$1,047 to $4,467

How much rates vary

Facilitymedian $2,042 · 10th to 90th $204 to $4,898Professionalmedian $155 · 10th to 90th $105 to $269
$20.0$100.0$500.0$2.0K$10.0Kfacility $2,042professional $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
$204.17
Median
$2,041.74
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$162.18
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$251.19
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$446.68
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,584.89
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$162.18
Typical High
$223.87

Where Michigan 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.

Michigan $158 · 42nd 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.