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Upper Neck Spinal Fluid Puncture with Injection

New Mexico 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?

$441

Typical total for the visit. In New Mexico, October 2026.

Insurers have agreed to pay about $441 for this procedure. That total is two separate charges: $166 to the doctor who performs it, and $275 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$166$138 to $204
Facility feeThe hospital or surgery center$275$200 to $871

How much rates vary

Facilitymedian $275 · 10th to 90th $195 to $1,349Professionalmedian $166 · 10th to 90th $100 to $251
$50$100$200$500$1K$2K$5Kfacility $275professional $166

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
$112.20
Median
$1,047.13
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$234.42
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$158.49
Typical High
$245.47
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.88
Typical High
$169.82
Providence
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$229.09
Typical High
$1,288.25
Providence
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$173.78
Typical High
$245.47
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$275.42
Typical High
$1,348.96
United
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$186.21
Typical High
$288.40

Where New Mexico 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

New Mexico· 46th of 51

$441

$166 physician + $275 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.