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Nerve-Destroying Injection For Pelvic Pain

Nationwide rates for HCPCS 64681

A needle is guided to the superior hypogastric plexus, a bundle of nerves lying deep in the pelvis, and an agent that destroys nerve tissue is injected to cut off pain signals coming from the pelvic organs. It is the destructive treatment rather than a temporary numbing injection, which is offered as a separate service. Imaging such as X-ray is often used to place the needle accurately.

Rates data updated July 2026.

How much does Nerve-Destroying Injection For Pelvic Pain cost?

$3,181

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $3,181 for this procedure. That total is two separate charges: $427 to the doctor who performs it, and $2,754 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 67 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$427$263 to $646
Facility feeThe hospital or surgery center$2,754$933 to $4,898

How much rates vary

Facilitymedian $2,754 · 10th to 90th $398 to $8,318Professionalmedian $427 · 10th to 90th $209 to $1,148
$200$500$1K$2K$5K$10K$20Kfacility $2,754professional $427

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
$446.68
Median
$3,090.30
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$398.11
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,630.78
Typical High
$9,120.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$354.81
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$1,071.52
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$478.63
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,819.70
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$457.09
Typical High
$1,000.00

What it costs in each state

The same service costs 9.9 times more in New Jersey than in Maryland. 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.

Physician feeFacility fee

Touch or drag across the chart to see any state's rate.

NJ $6,305MD $635

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.