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Botulinum Toxin Injection Into Trunk Muscles

Rhode Island 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 October 2026.

How much does Botulinum Toxin Injection Into Trunk Muscles cost?

$182

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $871 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$182$141 to $204
FacilityA hospital or hospital-owned outpatient department$871$389 to $1,995

How much rates vary

Facilitymedian $871 · 10th to 90th $158 to $3,981Professionalmedian $182 · 10th to 90th $120 to $275
$100$200$500$1K$2K$5Kfacility $871professional $182

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,548.82
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$181.97
Typical High
$194.98
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$162.18
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$158.49
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$234.42
Typical High
$275.42
United
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$1,096.48
Typical High
$4,265.80
United
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$154.88
Typical High
$275.42
5 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$70.79
Median
$91.20
Typical High
$91.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.18
Median
$36.31
Typical High
$36.31
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$104.71
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.89
Median
$26.92
Typical High
$26.92
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.13
Median
$18.20
Typical High
$18.20

Where Rhode Island sits

The same service costs 3.5 times more in Alaska than in Florida. 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.

Rhode Island· 26th of 51

$182

AK $468FL $132

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.