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Nervous System Procedure With No Standard Listing

Pennsylvania rates for HCPCS 64999

Covers an operation or procedure on the nerves, spinal cord or related structures that does not match any of the standard named services. It is used when the technique is new, rare, or performed in a way that no established description fits. A written account of exactly what was done accompanies it so the work can be assessed on its own terms.

Rates data updated October 2026.

How much does Nervous System Procedure With No Standard Listing cost?

$891

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $58,884 from a physician practice, and about $676 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 10 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58,884$50,119 to $58,884
FacilityA hospital or hospital-owned outpatient department$676$151 to $1,738

How much rates vary

Facilitymedian $676 · 10th to 90th $68 to $5,129Professionalmedian $58,884 · 10th to 90th $708 to $58,884
$100$1K$10Kfacility $676professional $58,884

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
Facility
Modifier
None
Typical Low
$724.44
Median
$2,454.71
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$758.58
Typical High
$6,165.95
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$1,862.09
Typical High
$33,884.42
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$56,234.13
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$58,884.37
Median
$58,884.37
Typical High
$58,884.37
Capital Blue Cross
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$41,686.94
Median
$43,651.58
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$645.65
Typical High
$2,290.87
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$741.31
Typical High
$1,737.80
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$346.74
Typical High
$1,412.54
Independence Blue Cross
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$1,819.70
Typical High
$24,547.09
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$2,344.23
Typical High
$7,244.36
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$707.95
Typical High
$6,165.95
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$8,709.64
Typical High
$11,220.18
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$39.81
Typical High
$63.10
UPMC Health Plan
Setting
Professional
Modifier
62 · Two surgeons
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
United
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$158.49
Typical High
$1,230.27

Where Pennsylvania sits

The same service costs 100.0 times more in Kentucky than in Hawaii. 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.

Pennsylvania· 17th of 51

$891

KY $2,951HI $29.51

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.