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Botulinum Toxin Injection Into Trunk Muscles

Missouri 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?

$209

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $1,660 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$162$126 to $245
FacilityA hospital or hospital-owned outpatient department$1,660$676 to $3,020

How much rates vary

Facilitymedian $1,660 · 10th to 90th $158 to $4,898Professionalmedian $162 · 10th to 90th $112 to $661
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,660professional $162

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
$131.83
Median
$1,778.28
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,778.28
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$128.82
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$309.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$190.55
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$251.19
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,047.13
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$181.97
Typical High
$295.12

Where Missouri 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.

Missouri $209 · 14th 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.