go back

Botulinum Toxin Injection Into Trunk Muscles

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $407 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 7 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$191$145 to $302
FacilityA hospital or hospital-owned outpatient department$407$170 to $759

How much rates vary

Facilitymedian $407 · 10th to 90th $123 to $4,467Professionalmedian $191 · 10th to 90th $112 to $437
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $407professional $191

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
$154.88
Median
$676.08
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$154.88
Typical High
$436.52
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$288.40
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$338.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,187.76
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$275.42
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$707.95
Typical High
$707.95
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,412.54

Where North Carolina 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.

North Carolina $200 · 18th 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.