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Cutting of the Greater Occipital Nerve

Montana rates for HCPCS 64744

This procedure cuts or removes a segment of the greater occipital nerve, which runs from the back of the skull up into the scalp, to relieve chronic pain in that area when other treatments have not worked. It is used for persistent occipital neuralgia, a condition causing sharp or throbbing pain at the base of the skull and scalp. Because the nerve is cut, the area it serves may become permanently numb.

Rates data updated October 2026.

How much does Cutting of the Greater Occipital Nerve cost?

$1,746

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $1,746 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $933 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$813$603 to $813
Facility feeThe hospital or surgery center$933$933 to $1,096

How much rates vary

Facilitymedian $933 · 10th to 90th $692 to $1,995Professionalmedian $813 · 10th to 90th $85 to $933
$100$200$500$1K$2Kfacility $933professional $813

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$524.81
Typical High
$1,174.90
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,513.56
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$933.25
Typical High
$1,071.52
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$933.25
Typical High
$1,000.00
Providence
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,513.56
Typical High
$4,365.16
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$724.44
Typical High
$812.83
United
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,238.72
Typical High
$3,162.28
United
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$831.76
Typical High
$912.01

Where Montana sits

The same service costs 3.2 times more in Oklahoma 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

Montana· 48th of 51

$1,746

$813 physician + $933 facility

OK $5,349MD $1,661

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.