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Botulinum Toxin Injection Into Trunk Muscles

Ohio 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?

$178

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $2,455 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 9 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$148$117 to $209
FacilityA hospital or hospital-owned outpatient department$2,455$708 to $3,467

How much rates vary

Facilitymedian $2,455 · 10th to 90th $191 to $9,550Professionalmedian $148 · 10th to 90th $105 to $282
$1.0$10.0$100.0$1.0K$10.0Kfacility $2,455professional $148

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
$162.18
Median
$2,818.38
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$794.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,137.96
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$208.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$186.21
Typical High
$288.40
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,995.26
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$181.97
Typical High
$288.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,513.56
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$154.88
Typical High
$251.19

Where Ohio 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.

Ohio $178 · 25th 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.