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Botulinum Toxin Injection Into Trunk Muscles

North Dakota 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?

$229

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $151 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 5 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$229$145 to $316
FacilityA hospital or hospital-owned outpatient department$151$112 to $186

How much rates vary

Facilitymedian $151 · 10th to 90th $107 to $1,995Professionalmedian $229 · 10th to 90th $112 to $380
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $151professional $229

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
$107.15
Median
$151.36
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$141.25
Typical High
$295.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$263.03
Typical High
$426.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$338.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$263.03
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,819.70
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$213.80
Typical High
$338.84

Where North Dakota 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 Dakota $229 · 8th 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.