Price AtlasInteractive atlas · All states · techysurgeon.comFacet nerve ablation (radiofrequency): what insurers pay
Heat ablation of the nerves to a low-back facet joint, one level. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 64635: Facet Nerve Ablation (Radiofrequency)
1264 hospitals in 80 markets. National Medicare rate $1,995, surgery center $949.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 14 | $1,600 | $2,160 | $2,946 | $1,052–$3,702 |
| Alaska (statewide) | 3 | — | — | — | $2,482–$4,779 |
| Arizona (statewide) | 7 | $2,394 | $2,602 | $2,986 | $1,307–$3,353 |
| Arkansas (statewide) | 12 | $1,822 | $1,869 | $2,186 | $1,268–$2,699 |
| Atlanta GA | 10 | $4,175 | $4,693 | $4,693 | $4,175–$5,832 |
| Austin TX | 13 | $1,651 | $3,858 | $5,269 | $1,651–$5,451 |
| Boston MA | 16 | $2,206 | $2,960 | $3,416 | $1,468–$4,099 |
| California (statewide) | 58 | $3,720 | $5,762 | $7,390 | $1,948–$11,383 |
| Charlotte NC | 5 | $2,322 | $2,322 | $2,322 | $2,290–$2,322 |
| Chicago IL | 6 | $3,240 | $3,414 | $4,012 | $3,174–$6,703 |
| Cleveland OH | 11 | $3,170 | $3,695 | $3,987 | $2,362–$4,243 |
| Colorado (statewide) | 16 | $2,749 | $4,098 | $5,218 | $1,352–$8,002 |
| Columbus OH | 2 | — | — | — | $7,024–$7,024 |
| Connecticut (statewide) | 3 | — | — | — | $2,742–$8,136 |
| Dallas-Fort Worth TX | 14 | $4,542 | $4,846 | $5,021 | $2,933–$10,782 |
| Denver CO | 15 | $3,040 | $4,333 | $5,378 | $2,038–$5,980 |
| Detroit MI | 16 | $1,362 | $1,862 | $2,570 | $1,362–$5,085 |
| Florida (statewide) | 61 | $3,463 | $4,452 | $5,646 | $1,151–$8,690 |
| Georgia (statewide) | 40 | $3,234 | $4,186 | $4,649 | $1,750–$7,399 |
| Hawaii (statewide) | 4 | — | — | — | $2,387–$2,798 |
| Houston TX | 18 | $3,727 | $4,250 | $4,732 | $2,934–$6,588 |
| Idaho (statewide) | 16 | $1,850 | $2,042 | $3,772 | $1,137–$8,692 |
| Illinois (statewide) | 24 | $2,462 | $3,223 | $4,643 | $1,606–$5,801 |
| Indiana (statewide) | 31 | $3,121 | $4,171 | $6,684 | $1,842–$8,700 |
| Indianapolis IN | 4 | — | — | — | $3,406–$8,123 |
| Iowa (statewide) | 37 | $1,995 | $2,449 | $3,432 | $1,089–$5,926 |
| Kansas (statewide) | 30 | $2,441 | $3,046 | $4,578 | $1,701–$5,732 |
| Kentucky (statewide) | 18 | $1,764 | $2,582 | $3,203 | $1,202–$4,553 |
| Las Vegas NV | 1 | — | — | — | $1,686–$1,686 |
| Los Angeles CA | 17 | $5,080 | $5,214 | $5,651 | $3,265–$10,380 |
| Louisiana (statewide) | 24 | $1,773 | $2,192 | $2,866 | $1,300–$5,236 |
| Maine (statewide) | 15 | $8,002 | $9,178 | $9,290 | $4,973–$11,680 |
| Massachusetts (statewide) | 7 | $1,866 | $2,340 | $2,832 | $1,858–$4,780 |
| Miami-Fort Lauderdale FL | 6 | $2,223 | $2,780 | $3,642 | $2,223–$5,670 |
| Michigan (statewide) | 28 | $1,814 | $2,141 | $2,574 | $1,092–$4,761 |
| Minneapolis-St. Paul MN | 13 | $3,404 | $3,660 | $4,150 | $2,438–$4,572 |
| Minnesota (statewide) | 17 | $3,333 | $4,454 | $5,979 | $1,160–$8,533 |
| Mississippi (statewide) | 15 | $2,906 | $3,104 | $3,266 | $2,121–$3,433 |
| Missouri (statewide) | 30 | $2,540 | $4,316 | $4,995 | $1,660–$6,897 |
| Montana (statewide) | 4 | — | — | — | $2,441–$5,865 |
| Nashville TN | 8 | $2,399 | $2,399 | $3,422 | $1,217–$4,092 |
| Nebraska (statewide) | 15 | $2,664 | $3,047 | $3,909 | $2,032–$5,861 |
| Nevada (statewide) | 1 | — | — | — | $5,089–$5,089 |
| New Hampshire (statewide) | 6 | $2,654 | $4,687 | $7,602 | $2,262–$8,744 |
| New Jersey (statewide) | 20 | $2,266 | $3,852 | $5,944 | $2,134–$8,632 |
| New Mexico (statewide) | 4 | — | — | — | $3,013–$5,707 |
| New York (statewide) | 31 | $3,698 | $3,985 | $4,687 | $1,360–$6,842 |
| New York City | 8 | $3,850 | $3,850 | $5,847 | $3,376–$8,789 |
| North Carolina (statewide) | 6 | $2,302 | $4,442 | $6,191 | $1,827–$9,044 |
| North Dakota (statewide) | 6 | $2,571 | $3,910 | $4,420 | $1,348–$4,999 |
| Ohio (statewide) | 44 | $3,076 | $4,473 | $5,169 | $978–$7,506 |
| Oklahoma (statewide) | 18 | $2,101 | $2,940 | $4,244 | $1,150–$9,548 |
| Oregon (statewide) | 10 | $4,461 | $5,000 | $6,737 | $2,169–$9,041 |
| Pennsylvania (statewide) | 47 | $2,862 | $4,280 | $5,678 | $1,207–$8,635 |
| Philadelphia PA | 11 | $2,310 | $3,316 | $5,465 | $2,196–$8,933 |
| Phoenix AZ | 8 | $3,120 | $3,488 | $3,770 | $2,864–$3,770 |
| Pittsburgh PA | 10 | $2,067 | $2,623 | $4,056 | $1,774–$4,915 |
| Portland OR | 9 | $8,101 | $8,394 | $8,394 | $8,101–$8,700 |
| Research Triangle NC | 3 | — | — | — | $1,350–$5,110 |
| Rhode Island (statewide) | 5 | $2,622 | $4,110 | $4,628 | $2,027–$8,626 |
| Richmond VA | 3 | — | — | — | $5,632–$6,884 |
| Rio Grande Valley TX | 5 | $2,738 | $5,830 | $5,830 | $2,538–$6,066 |
| Salt Lake City UT | 9 | $1,688 | $1,688 | $1,688 | $1,674–$1,703 |
| San Antonio TX | 3 | — | — | — | $2,567–$4,773 |
| San Diego CA | 6 | $4,395 | $4,395 | $4,395 | $4,324–$4,631 |
| San Francisco Bay Area CA | 5 | $5,194 | $5,606 | $6,212 | $3,724–$12,355 |
| Seattle-Tacoma WA | 16 | $5,596 | $5,856 | $7,213 | $5,159–$7,277 |
| South Carolina (statewide) | 29 | $3,869 | $5,098 | $5,556 | $1,221–$10,846 |
| South Dakota (statewide) | 4 | — | — | — | $2,543–$2,993 |
| St. Louis MO | 8 | $1,677 | $3,950 | $6,188 | $1,576–$8,358 |
| Tampa FL | 6 | $5,620 | $6,291 | $6,291 | $3,874–$6,291 |
| Tennessee (statewide) | 30 | $1,876 | $1,992 | $2,458 | $1,731–$4,248 |
| Texas (statewide) | 81 | $2,795 | $4,250 | $5,023 | $1,347–$14,306 |
| Utah (statewide) | 6 | $1,626 | $1,723 | $1,758 | $1,605–$1,906 |
| Vermont (statewide) | 2 | — | — | — | $1,840–$3,564 |
| Virginia (statewide) | 22 | $5,238 | $7,184 | $7,390 | $1,924–$10,066 |
| Washington (statewide) | 14 | $5,508 | $5,913 | $6,394 | $1,989–$10,646 |
| Washington DC | 11 | $3,695 | $4,301 | $4,301 | $3,173–$4,782 |
| West Virginia (statewide) | 10 | $2,964 | $3,392 | $6,368 | $2,168–$13,000 |
| Wisconsin (statewide) | 43 | $4,795 | $6,026 | $7,250 | $1,513–$8,762 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Akron Children'S Hospital | Ohio (statewide) | $978 | 0.5× | 1 | 2025-11-11 |
| Usa Health University Hospital | Alabama (statewide) | $1,052 | 0.6× | 1 | 2026-04-30 |
| Kossuth Regional Health Center | Iowa (statewide) | $1,089 | 0.6× | 3 | 2026-07-16 |
| Oaklawn Hospital | Michigan (statewide) | $1,092 | 0.6× | 2 | 2026-03-27 |
| North Canyon Medical Center | Idaho (statewide) | $1,137 | 0.6× | 8 | 2026-04-13 |
| Onecore Health | Oklahoma (statewide) | $1,150 | 0.6× | 1 | 2026-02-27 |
| Baptist Medical Center Jacksonville | Florida (statewide) | $1,151 | 0.6× | 2 | 2026-02-06 |
| Baptist Medical Center - Beaches | Florida (statewide) | $1,151 | 0.6× | 2 | 2026-02-06 |
| Baptist Medical Center - Nassau | Florida (statewide) | $1,151 | 0.6× | 2 | 2026-02-06 |
| Madison County Health Care System | Iowa (statewide) | $1,160 | 0.6× | 3 | 2026-09-23 |
| Madison Hospital | Minnesota (statewide) | $1,160 | 0.6× | 3 | 2026-09-23 |
| North Alabama Shoals Hospital | Alabama (statewide) | $1,165 | 0.7× | 2 | 2026-07-23 |
| Carilion Giles Community Hospital | Virginia (statewide) | $10,066 | 5.3× | 1 | 2025-12-15 |
| Beaufort County Memorial Hospital | South Carolina (statewide) | $10,142 | 5.6× | 2 | 2026-01-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $10,380 | 4.1× | 2 | 2025-11-26 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $10,646 | 4.7× | 6 | 2026-08-27 |
| UT Southwestern William P. Clements Jr. University Hospital | Dallas-Fort Worth TX | $10,782 | 5.5× | 1 | 2026-03-10 |
| Musc Health | South Carolina (statewide) | $10,846 | 5.7× | 3 | 2026-04-01 |
| Mission Community Hospital | California (statewide) | $11,383 | 4.5× | 2 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $11,680 | 6.1× | 1 | 2025-09-09 |
| Methodist Dallas Medical Center | Texas (statewide) | $12,159 | 6.2× | 1 | 2026-03-20 |
| Stanford Health Care | San Francisco Bay Area CA | $12,355 | 4.3× | 3 | 2026-04-01 |
| Logan Regional Medical Center | West Virginia (statewide) | $13,000 | 6.9× | 1 | 2026-04-01 |
| Methodist Mckinney Hospital | Texas (statewide) | $14,306 | 7.3× | 1 | 2026-03-21 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for facet nerve ablation (radiofrequency)?
Across 1264 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 64635, hospital outpatient is $3,903, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,462 to $5,310. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for facet nerve ablation (radiofrequency)?
Medicare's national hospital outpatient rate for CPT 64635 is $1,995 and its surgery-center rate is $949, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for facet nerve ablation (radiofrequency)?
Lowest medians: Akron Children'S Hospital ($978), Usa Health University Hospital ($1,052), Kossuth Regional Health Center ($1,089). Highest: Methodist Mckinney Hospital ($14,306), Logan Regional Medical Center ($13,000), Stanford Health Care ($12,355). Coverage: every hospital whose price file we could read.