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Upper Neck Spinal Fluid Puncture with Injection

Indiana 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?

$4,032

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

Insurers have agreed to pay about $4,032 for this procedure. That total is two separate charges: $141 to the doctor who performs it, and $3,890 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$141$110 to $195
Facility feeThe hospital or surgery center$3,890$2,951 to $5,495

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,148 to $8,318Professionalmedian $141 · 10th to 90th $105 to $263
$100$200$500$1K$2K$5K$10Kfacility $3,890professional $141

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
$158.49
Median
$4,897.79
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$199.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,890.45
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$269.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$114.82
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$190.55
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$2,137.96
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$239.88

Where Indiana 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

Indiana· 4th of 49

$4,032

$141 physician + $3,890 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.