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Upper Neck Spinal Fluid Puncture with Injection

Iowa 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?

$808

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

Insurers have agreed to pay about $808 for this procedure. That total is two separate charges: $245 to the doctor who performs it, and $562 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$245$195 to $316
Facility feeThe hospital or surgery center$562$295 to $1,096

How much rates vary

Facilitymedian $562 · 10th to 90th $245 to $2,512Professionalmedian $245 · 10th to 90th $145 to $389
$100$200$500$1K$2K$5K$10Kfacility $562professional $245

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$2,951.21
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$162.18
Typical High
$162.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$302.00
Typical High
$602.56
Cigna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$281.84
Typical High
$331.13
Hally Health
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$199.53
Typical High
$389.05
Medica
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$338.84
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$281.84
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$281.84
Typical High
$323.59
Midlands
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$323.59
Typical High
$616.60
Midlands
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$316.23
Typical High
$363.08
United
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$831.76
Typical High
$1,995.26
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$213.80
Typical High
$389.05
Wellmark
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$229.09

Where Iowa 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

Iowa· 18th of 51

$808

$245 physician + $562 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.