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Upper Neck Spinal Fluid Puncture with Injection

North Dakota 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?

$386

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $386 for this procedure. That total is two separate charges: $224 to the doctor who performs it, and $162 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$224$174 to $240
Facility feeThe hospital or surgery center$162$120 to $251

How much rates vary

Facilitymedian $162 · 10th to 90th $120 to $269Professionalmedian $224 · 10th to 90th $129 to $269
$200$500$1K$2K$5K$10Kfacility $162professional $224

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$120.23
Typical High
$120.23
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$223.87
Typical High
$263.03
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$208.93
Median
$269.15
Typical High
$316.23
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$120.23
Median
$158.49
Typical High
$186.21
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$128.82
Median
$169.82
Typical High
$199.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$223.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$234.42
Typical High
$371.54
Medica
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$181.97
Typical High
$363.08
Medica
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$223.87
Typical High
$263.03
United
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$251.19
Typical High
$269.15
United
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$223.87
Typical High
$269.15

Where North Dakota 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

North Dakota· 48th of 51

$386

$224 physician + $162 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.