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Botulinum Toxin Injection Into Trunk Muscles

Nebraska 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?

$269

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $3,388 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$257$158 to $339
FacilityA hospital or hospital-owned outpatient department$3,388$537 to $7,943

How much rates vary

Facilitymedian $3,388 · 10th to 90th $178 to $13,490Professionalmedian $257 · 10th to 90th $117 to $603
$100$500$2K$10Kfacility $3,388professional $257

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
$380.19
Median
$4,073.80
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$269.15
Typical High
$660.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$194.98
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$380.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$229.09
Typical High
$1,023.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$302.00
Typical High
$831.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$436.52
Midlands
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$346.74
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$1,071.52
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$398.11

Where Nebraska 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.

Nebraska· 5th of 51

$269

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.