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Upper Neck Spinal Fluid Puncture with Injection

Massachusetts 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?

$2,248

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

Insurers have agreed to pay about $2,248 for this procedure. That total is two separate charges: $158 to the doctor who performs it, and $2,089 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$158$120 to $240
Facility feeThe hospital or surgery center$2,089$1,000 to $2,818

How much rates vary

Facilitymedian $2,089 · 10th to 90th $135 to $3,802Professionalmedian $158 · 10th to 90th $105 to $372
$100$200$500$1K$2K$5K$10Kfacility $2,089professional $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
$1,000.00
Median
$2,238.72
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$398.11
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$1,122.02
Typical High
$19,498.45
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$190.55
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$234.42
Typical High
$426.58
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$134.90
Typical High
$190.55
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,041.74
Typical High
$3,467.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$190.55
Typical High
$309.03
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$1,122.02
Typical High
$19,498.45
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$190.55
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,698.24
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$549.54

Where Massachusetts 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

Massachusetts· 21st of 49

$2,248

$158 physician + $2,089 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.