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Upper Neck Spinal Fluid Puncture with Injection

Montana 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?

$408

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

Insurers have agreed to pay about $408 for this procedure. That total is two separate charges: $204 to the doctor who performs it, and $204 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$204$182 to $251
Facility feeThe hospital or surgery center$204$200 to $229

How much rates vary

Facilitymedian $204 · 10th to 90th $200 to $263Professionalmedian $204 · 10th to 90th $115 to $617
$100$200$500facility $204professional $204

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
Professional
Modifier
Global
Typical Low
$114.82
Median
$218.78
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$204.17
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$263.03
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$263.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$181.97
Typical High
$251.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$309.03

Where Montana 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

Montana· 46th of 49

$408

$204 physician + $204 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.