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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 July 2026.

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

$525

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

Insurers have agreed to pay about $525 for this procedure. That total is two separate charges: $209 to the doctor who performs it, and $316 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$209$132 to $263
Facility feeThe hospital or surgery center$316$186 to $2,291

How much rates vary

Facilitymedian $316 · 10th to 90th $135 to $4,365Professionalmedian $209 · 10th to 90th $95 to $331
$100$200$500$1K$2Kfacility $316professional $209

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. 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
Global
Typical Low
$120.23
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$263.03
Typical High
$331.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$251.19
Typical High
$323.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$213.80
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$251.19
Typical High
$281.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$234.42
Typical High
$331.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$229.09
Typical High
$239.88

Where South Dakota 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

South Dakota· 44th of 49

$525

$209 physician + $316 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.