Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint
Medicare pricing data for 7,130 providers across 52 states
This procedure has a 5.8x markup — hospitals charge $976.08 but Medicare allows only $166.88. Uninsured patients may face bills 5.8 times higher than what insurance negotiates. Prices vary significantly by location — from $73 in North Dakota to $350 in Hawaii. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS code 64634) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $166.88, but hospitals typically charge $976.08 — a 5.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $166.88, your out-of-pocket cost would be approximately $33.38. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.8x more than what Medicare allows for this procedure. Medicare actually pays $132.96 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $350 | $567 | 5 | 20 | +109.7% |
| Connecticut | $259 | $1,176 | 54 | 323 | +55.2% |
| Alaska | $248 | $2,434 | 16 | 90 | +48.8% |
| Virginia | $242 | $847 | 140 | 1,832 | +45.2% |
| New York | $229 | $1,072 | 364 | 2,308 | +37.1% |
| Oklahoma | $225 | $689 | 96 | 1,887 | +34.7% |
| Kentucky | $225 | $734 | 99 | 1,151 | +34.6% |
| North Carolina | $212 | $877 | 220 | 1,897 | +27.3% |
| District of Columbia | $209 | $912 | 10 | 66 | +25.2% |
| Arizona | $199 | $760 | 224 | 3,621 | +19.3% |
| Alabama | $197 | $629 | 83 | 863 | +17.9% |
| Utah | $197 | $684 | 103 | 1,125 | +17.9% |
| Florida | $195 | $1,101 | 744 | 9,624 | +16.6% |
| South Carolina | $192 | $1,017 | 110 | 1,408 | +15.0% |
| Michigan | $189 | $765 | 227 | 1,830 | +13.3% |
| Puerto Rico | $185 | $205 | 8 | 56 | +10.7% |
| New Hampshire | $181 | $941 | 37 | 286 | +8.3% |
| Texas | $179 | $1,046 | 713 | 7,844 | +7.4% |
| Massachusetts | $177 | $977 | 145 | 960 | +6.1% |
| Nevada | $165 | $2,147 | 82 | 734 | -1.3% |
| New Jersey | $162 | $3,968 | 223 | 1,274 | -2.8% |
| Illinois | $159 | $1,072 | 240 | 1,688 | -4.7% |
| Colorado | $159 | $852 | 136 | 1,552 | -4.7% |
| Oregon | $159 | $837 | 83 | 653 | -4.8% |
| Pennsylvania | $154 | $727 | 281 | 1,942 | -7.6% |
| Nebraska | $151 | $841 | 44 | 536 | -9.7% |
| New Mexico | $150 | $770 | 50 | 609 | -10.2% |
| Delaware | $148 | $980 | 34 | 277 | -11.2% |
| California | $147 | $1,149 | 541 | 4,081 | -12.2% |
| Tennessee | $144 | $704 | 145 | 1,658 | -13.7% |
| Arkansas | $141 | $1,170 | 102 | 1,415 | -15.7% |
| Washington | $139 | $662 | 122 | 905 | -17.0% |
| Vermont | $138 | $1,340 | 12 | 114 | -17.5% |
| Maine | $133 | $570 | 21 | 102 | -20.2% |
| Rhode Island | $133 | $1,005 | 10 | 60 | -20.2% |
| Indiana | $132 | $998 | 152 | 1,309 | -21.0% |
| Ohio | $122 | $500 | 259 | 1,970 | -27.2% |
| Missouri | $117 | $664 | 105 | 1,172 | -30.0% |
| Maryland | $115 | $708 | 150 | 1,647 | -31.2% |
| West Virginia | $108 | $270 | 25 | 346 | -35.3% |
| South Dakota | $106 | $348 | 20 | 185 | -36.6% |
| Montana | $105 | $513 | 19 | 102 | -37.2% |
| Georgia | $104 | $810 | 258 | 3,027 | -37.4% |
| Iowa | $104 | $689 | 56 | 420 | -37.8% |
| Minnesota | $100 | $790 | 121 | 1,003 | -39.8% |
| Louisiana | $99 | $994 | 127 | 1,938 | -40.5% |
| Mississippi | $96 | $740 | 56 | 847 | -42.2% |
| Idaho | $96 | $597 | 35 | 299 | -42.7% |
| Kansas | $91 | $705 | 68 | 636 | -45.4% |
| Wisconsin | $84 | $1,210 | 127 | 822 | -49.7% |
| Wyoming | $75 | $1,036 | 4 | 23 | -55.0% |
| North Dakota | $73 | $774 | 15 | 95 | -56.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber