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Botulinum Toxin Injection Into Trunk Muscles

South 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?

$214

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $240 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$209$132 to $309
FacilityA hospital or hospital-owned outpatient department$240$182 to $363

How much rates vary

Facilitymedian $240 · 10th to 90th $151 to $2,291Professionalmedian $209 · 10th to 90th $93 to $380
$100.0$200.0$500.0$1.0K$2.0Kfacility $240professional $209

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
$112.20
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$131.83
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$316.23
Typical High
$457.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$338.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$309.03
Typical High
$1,174.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$338.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$251.19
Typical High
$323.59
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$223.87
Typical High
$398.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$257.04
Typical High
$416.87

Where South 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.

South Dakota $214 · 13th 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.