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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 October 2026.

How much does Botulinum Toxin Injection Into Trunk Muscles cost?

$162

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $741 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$162$148 to $195
FacilityA hospital or hospital-owned outpatient department$741$407 to $1,047

How much rates vary

Facilitymedian $741 · 10th to 90th $209 to $1,778Professionalmedian $162 · 10th to 90th $32 to $214
$50$100$200$500$1K$2K$5Kfacility $741professional $162

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$213.80
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$158.49
Typical High
$213.80
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$75.86
Median
$79.43
Typical High
$107.15
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$30.90
Median
$31.62
Typical High
$42.66
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$114.82
Median
$120.23
Typical High
$162.18
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$22.91
Median
$23.99
Typical High
$32.36
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$15.14
Median
$15.85
Typical High
$21.38
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$758.58
Typical High
$1,288.25
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$32.36
Typical High
$162.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$154.88
Typical High
$309.03
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$398.11
Typical High
$3,090.30
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$190.55
Typical High
$213.80
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$74.13
Median
$77.62
Typical High
$104.71
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$29.51
Median
$30.90
Typical High
$41.69
Health Alliance Plan
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$112.20
Median
$114.82
Typical High
$158.49
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$22.39
Median
$23.44
Typical High
$31.62
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.79
Median
$15.49
Typical High
$20.89
Priority Health
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$147.91
Typical High
$213.80
United
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$426.58
Typical High
$1,995.26
United
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$158.49
Typical High
$194.98

Where Michigan sits

The same service costs 3.5 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 35th of 51

$162

AK $468FL $132

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.