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Upper Neck Spinal Fluid Puncture with Injection

Georgia 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?

$2,800

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

Insurers have agreed to pay about $2,800 for this procedure. That total is two separate charges: $170 to the doctor who performs it, and $2,630 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$170$126 to $251
Facility feeThe hospital or surgery center$2,630$1,288 to $4,365

How much rates vary

Facilitymedian $2,630 · 10th to 90th $589 to $7,079Professionalmedian $170 · 10th to 90th $112 to $324
$100$200$500$1K$2K$5K$10Kfacility $2,630professional $170

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
$223.87
Median
$3,630.78
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$2,238.72
Typical High
$4,073.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$199.53
Typical High
$354.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$1,318.26
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$295.12

Where Georgia 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

Georgia· 16th of 49

$2,800

$170 physician + $2,630 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.