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Upper Neck Spinal Fluid Puncture with Injection

Hawaii 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?

$1,009

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

Insurers have agreed to pay about $1,009 for this procedure. That total is two separate charges: $138 to the doctor who performs it, and $871 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$138$29.51 to $141
Facility feeThe hospital or surgery center$871$813 to $2,818

How much rates vary

Facilitymedian $871 · 10th to 90th $617 to $2,884Professionalmedian $138 · 10th to 90th $19 to $155
$20$50$100$200$500$1K$2Kfacility $871professional $138

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
$691.83
Median
$2,818.38
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$123.03
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$117.49
Typical High
$147.91
United
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$616.60
Typical High
$1,122.02
United
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$169.82
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$29.51
Typical High
$154.88

Where Hawaii 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

Hawaii· 11th of 51

$1,009

$138 physician + $871 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.