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Upper Neck Spinal Fluid Puncture with Injection

Idaho 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?

$823

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

Insurers have agreed to pay about $823 for this procedure. That total is two separate charges: $162 to the doctor who performs it, and $661 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$162$148 to $240
Facility feeThe hospital or surgery center$661$339 to $1,318

How much rates vary

Facilitymedian $661 · 10th to 90th $162 to $5,495Professionalmedian $162 · 10th to 90th $115 to $288
$100$200$500$1K$2K$5K$10Kfacility $661professional $162

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
$1,412.54
Median
$4,466.84
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$288.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$645.65
Typical High
$1,174.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$177.83
Typical High
$245.47
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$363.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$173.78
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$977.24
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$234.42
Typical High
$281.84
Select Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$467.74
Typical High
$1,348.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$8,317.64
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$181.97
Typical High
$263.03

Where Idaho 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

Idaho· 36th of 49

$823

$162 physician + $661 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.