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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 October 2026.

How much does Upper Neck Spinal Fluid Puncture with Injection cost?

$364

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

Insurers have agreed to pay about $364 for this procedure. That total is two separate charges: $182 to the doctor who performs it, and $182 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$182$120 to $186
Facility feeThe hospital or surgery center$182$170 to $200

How much rates vary

Facilitymedian $182 · 10th to 90th $170 to $269Professionalmedian $182 · 10th to 90th $79 to $219
$100$200$500facility $182professional $182

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$288.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$269.15
Typical High
$776.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$199.53
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$169.82
Typical High
$181.97
Providence
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$269.15
Typical High
$776.25
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$158.49
Typical High
$186.21
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$199.53
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$208.93
Typical High
$295.12

Where Montana sits

The same service costs 8.9 times more in New York than in Maryland. 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· 49th of 51

$364

$182 physician + $182 facility

NY $2,750MD $308

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.