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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 July 2026.

How much does Botulinum Toxin Injection Into Trunk Muscles cost?

$200

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $229 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$182$135 to $251
FacilityA hospital or hospital-owned outpatient department$229$200 to $282

How much rates vary

Facilitymedian $229 · 10th to 90th $191 to $309Professionalmedian $182 · 10th to 90th $102 to $316
$100$1K$10K$100Kfacility $229professional $182

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
Professional
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$257.04
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$239.88
Typical High
$288.40
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$239.88
Typical High
$288.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$288.40
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$194.98
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$213.80
Typical High
$281.84

Where Montana sits

The same service costs 2.5 times more in California than in Kentucky. 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

$200

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.