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Botulinum Toxin Injection Into Trunk Muscles

Montana 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?

$186

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $209 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$186$166 to $251
FacilityA hospital or hospital-owned outpatient department$209$178 to $295

How much rates vary

Facilitymedian $209 · 10th to 90th $178 to $363Professionalmedian $186 · 10th to 90th $115 to $257
$100$200$500$1Kfacility $209professional $186

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
Professional
Modifier
None
Typical Low
$102.33
Median
$144.54
Typical High
$245.47
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$181.97
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$181.97
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$194.98
Typical High
$257.04
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$208.93
Typical High
$316.23
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$186.21
Typical High
$309.03
Providence
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$181.97
Typical High
$1,778.28
Providence
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$181.97
Typical High
$257.04
United
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$616.60
Typical High
$954.99
United
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$218.78
Typical High
$281.84

Where Montana 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.

Montana· 20th of 51

$186

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.