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Botulinum Toxin Injection Into Trunk Muscles

Virginia 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?

$170

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $275 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 8 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$166$129 to $209
FacilityA hospital or hospital-owned outpatient department$275$155 to $3,090

How much rates vary

Facilitymedian $275 · 10th to 90th $129 to $5,888Professionalmedian $166 · 10th to 90th $112 to $309
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $275professional $166

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
$128.82
Median
$2,041.74
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$154.88
Typical High
$346.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$288.40
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$147.91
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$316.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$251.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$269.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Sentara
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$2,691.53
Sentara
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$204.17
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,949.84
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$275.42

Where Virginia 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.

Virginia $170 · 30th 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.