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Upper Neck Spinal Fluid Puncture with Injection

Kentucky 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?

$2,133

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

Insurers have agreed to pay about $2,133 for this procedure. That total is two separate charges: $138 to the doctor who performs it, and $1,995 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$138$107 to $174
Facility feeThe hospital or surgery center$1,995$1,413 to $2,754

How much rates vary

Facilitymedian $1,995 · 10th to 90th $794 to $3,388Professionalmedian $138 · 10th to 90th $100 to $302
$100$200$500$1K$2K$5Kfacility $1,995professional $138

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
$112.20
Median
$1,778.28
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$104.71
Typical High
$398.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$213.80
CareSource
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$144.54
Typical High
$173.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$147.91
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$724.44
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$239.88

Where Kentucky 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

Kentucky· 23rd of 49

$2,133

$138 physician + $1,995 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.