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Upper Neck Spinal Fluid Puncture with Injection

Michigan 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?

$2,193

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

Insurers have agreed to pay about $2,193 for this procedure. That total is two separate charges: $151 to the doctor who performs it, and $2,042 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$151$115 to $166
Facility feeThe hospital or surgery center$2,042$1,380 to $4,898

How much rates vary

Facilitymedian $2,042 · 10th to 90th $191 to $4,898Professionalmedian $151 · 10th to 90th $105 to $229
$100$200$500$1K$2K$5Kfacility $2,042professional $151

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
$151.36
Median
$2,884.03
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$117.49
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$446.68
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$2,041.74
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$208.93
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$851.14
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$162.18
Typical High
$218.78

Where Michigan 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

Michigan· 22nd of 49

$2,193

$151 physician + $2,042 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.