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Nerve-Destroying Injection For Pelvic Pain

Hawaii 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?

$1,820

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $1,820 for this service. Most negotiated rates run $447 to $4,266.

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.

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,148 to $3,890Professionalmedian $1,820 · 10th to 90th $219 to $5,370
$50$100$200$500$1K$2K$5Kfacility $3,890professional $1,820

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
$1,148.15
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$218.78
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$724.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$549.54
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$489.78
Typical High
$630.96
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$1,995.26
Typical High
$5,370.32

Where Hawaii sits

The same service costs 5.1 times more in Hawaii than in Kentucky. 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.

Hawaii· 1st of 51

$1,820

HI $1,820KY $355

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.