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Upper Neck Spinal Fluid Puncture with Injection

South 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?

$430

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

Insurers have agreed to pay about $430 for this procedure. That total is two separate charges: $240 to the doctor who performs it, and $191 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$240$186 to $282
Facility feeThe hospital or surgery center$191$135 to $269

How much rates vary

Facilitymedian $191 · 10th to 90th $126 to $646Professionalmedian $240 · 10th to 90th $132 to $331
$100$200$500$1K$2Kfacility $191professional $240

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
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$112.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$213.80
Typical High
$537.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$281.84
Typical High
$331.13
Medica
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$158.49
Typical High
$257.04
Medica
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$316.23
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$281.84
Typical High
$281.84
Midlands
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$524.81
Typical High
$645.65
Midlands
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$190.55
Typical High
$223.87
United
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$295.12
Typical High
$331.13
Wellmark
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$239.88
Typical High
$239.88

Where South 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

South Dakota· 47th of 51

$430

$240 physician + $191 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.