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Upper Neck Spinal Fluid Puncture with Injection

Illinois 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?

$1,447

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

Insurers have agreed to pay about $1,447 for this procedure. That total is two separate charges: $158 to the doctor who performs it, and $1,288 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$158$117 to $209
Facility feeThe hospital or surgery center$1,288$631 to $3,020

How much rates vary

Facilitymedian $1,288 · 10th to 90th $234 to $5,370Professionalmedian $158 · 10th to 90th $110 to $316
$100$200$500$1K$2K$5K$10Kfacility $1,288professional $158

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
$234.42
Median
$1,380.38
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$158.49
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$309.03
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$194.98
Typical High
$707.95
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$144.54
Typical High
$158.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$691.83
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$288.40

Where Illinois 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

Illinois· 30th of 49

$1,447

$158 physician + $1,288 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.