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Botulinum Toxin Injection Into Trunk Muscles

Vermont 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 Vermont, 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 $468 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$182$148 to $214
FacilityA hospital or hospital-owned outpatient department$468$214 to $708

How much rates vary

Facilitymedian $468 · 10th to 90th $117 to $708Professionalmedian $182 · 10th to 90th $129 to $302
$100$200$500facility $468professional $182

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$154.88
Typical High
$181.97
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$186.21
Typical High
$234.42
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$208.93
Typical High
$263.03
United
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
United
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$213.80
Typical High
$323.59

Where Vermont 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.

Vermont· 25th 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.