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Botulinum Toxin Injection Into Trunk Muscles

Tennessee 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?

$162

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $1,445 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 6 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$155$129 to $200
FacilityA hospital or hospital-owned outpatient department$1,445$813 to $2,399

How much rates vary

Facilitymedian $1,445 · 10th to 90th $468 to $3,236Professionalmedian $155 · 10th to 90th $107 to $295
$50.0$200.0$1.0K$5.0Kfacility $1,445professional $155

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
$338.84
Median
$1,778.28
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$154.88
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,479.11
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$194.98
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$288.40
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$707.95
Typical High
$707.95
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,412.54
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,380.38
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$165.96
Typical High
$288.40

Where Tennessee 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.

Tennessee $162 · 39th 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.