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Upper Neck Spinal Fluid Puncture with Injection

Connecticut rates for HCPCS 61055

This procedure inserts a needle near the base of the skull or the top of the neck to reach the fluid-filled space surrounding the spinal cord, followed by an injection that may be a contrast dye to support imaging or a medication given for treatment. It provides an alternative access point when a standard lower-back spinal puncture is not suitable.

Rates data updated July 2026.

How much does Upper Neck Spinal Fluid Puncture with Injection cost?

$4,877

Typical total for the visit. In Connecticut, July 2026.

Insurers have agreed to pay about $4,877 for this procedure. That total is two separate charges: $200 to the doctor who performs it, and $4,677 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$200$141 to $295
Facility feeThe hospital or surgery center$4,677$3,388 to $6,166

How much rates vary

Facilitymedian $4,677 · 10th to 90th $2,291 to $8,511Professionalmedian $200 · 10th to 90th $117 to $417
$100$200$500$1K$2K$5K$10Kfacility $4,677professional $200

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
$3,388.44
Median
$4,786.30
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$181.97
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,162.28
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$239.88
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$338.84
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$354.81

Where Connecticut sits

The same service costs 25.1 times more in New Jersey than in West Virginia. 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

Connecticut· 2nd of 49

$4,877

$200 physician + $4,677 facility

NJ $5,633WV $225

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.