go back

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 July 2026.

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

$761

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

Insurers have agreed to pay about $761 for this procedure. That total is two separate charges: $158 to the doctor who performs it, and $603 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$158$100 to $178
Facility feeThe hospital or surgery center$603$178 to $1,380

How much rates vary

Facilitymedian $603 · 10th to 90th $155 to $2,138Professionalmedian $158 · 10th to 90th $100 to $617
$50$100$200$500$1K$2K$5Kfacility $603professional $158

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
$154.88
Median
$1,047.13
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$169.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$194.98
Typical High
$316.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$1,318.26
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$288.40

Where New Mexico 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

New Mexico· 37th of 49

$761

$158 physician + $603 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.