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Upper Neck Spinal Fluid Puncture with Injection

Delaware 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 October 2026.

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

$362

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

Insurers have agreed to pay about $362 for this procedure. That total is two separate charges: $148 to the doctor who performs it, and $214 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 3 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$148$112 to $174
Facility feeThe hospital or surgery center$214$100 to $501

How much rates vary

Facilitymedian $214 · 10th to 90th $87 to $1,698Professionalmedian $148 · 10th to 90th $105 to $209
$100$200$500$1K$2K$5Kfacility $214professional $148

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$3,235.94
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$112.20
Typical High
$117.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$275.42
Typical High
$588.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$154.88
Typical High
$208.93
United
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$114.82
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$162.18
Typical High
$239.88

Where Delaware sits

The same service costs 8.9 times more in New York 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

Delaware· 50th of 51

$362

$148 physician + $214 facility

NY $2,750MD $308

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.