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Upper Neck Spinal Fluid Puncture with Injection

Pennsylvania 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?

$2,812

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

Insurers have agreed to pay about $2,812 for this procedure. That total is two separate charges: $120 to the doctor who performs it, and $2,692 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$120$110 to $148
Facility feeThe hospital or surgery center$2,692$1,349 to $5,370

How much rates vary

Facilitymedian $2,692 · 10th to 90th $589 to $8,318Professionalmedian $120 · 10th to 90th $105 to $316
$100$200$500$1K$2K$5K$10Kfacility $2,692professional $120

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
$660.69
Median
$2,691.53
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$117.49
Typical High
$616.60
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,691.53
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$162.18
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$269.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$165.96
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$234.42
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,398.83
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$1,584.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$186.21
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,258.93
Typical High
$2,187.76
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$676.08
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$251.19

Where Pennsylvania 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

Pennsylvania· 15th of 49

$2,812

$120 physician + $2,692 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.