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Upper Neck Spinal Fluid Puncture with Injection

Tennessee 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?

$1,593

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

Insurers have agreed to pay about $1,593 for this procedure. That total is two separate charges: $148 to the doctor who performs it, and $1,445 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$148$115 to $182
Facility feeThe hospital or surgery center$1,445$794 to $2,399

How much rates vary

Facilitymedian $1,445 · 10th to 90th $398 to $4,074Professionalmedian $148 · 10th to 90th $112 to $398
$100$200$500$1K$2K$5K$10Kfacility $1,445professional $148

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
$467.74
Median
$1,819.70
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,479.11
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$269.15
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$19,498.45
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$758.58
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$275.42

Where Tennessee 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

Tennessee· 29th of 49

$1,593

$148 physician + $1,445 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.