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Upper Neck Spinal Fluid Puncture with Injection

South Carolina 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?

$2,482

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $2,482 for this procedure. That total is two separate charges: $138 to the doctor who performs it, and $2,344 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$138$115 to $155
Facility feeThe hospital or surgery center$2,344$661 to $5,623

How much rates vary

Facilitymedian $2,344 · 10th to 90th $141 to $16,596Professionalmedian $138 · 10th to 90th $112 to $251
$50.0$200.0$1.0K$5.0K$20.0Kfacility $2,344professional $138

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
$138.04
Median
$5,888.44
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$162.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,819.70
Typical High
$3,162.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$208.93
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$181.97
Typical High
$302.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$181.97
Typical High
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,202.26
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$154.88
Typical High
$251.19

Where South Carolina sits

The same service costs 25.1 times more in New Jersey than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeSouth Carolina $2,482 · 19th of 49
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.