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Upper Neck Spinal Fluid Puncture with Injection

Utah 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?

$3,344

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

Insurers have agreed to pay about $3,344 for this procedure. That total is two separate charges: $182 to the doctor who performs it, and $3,162 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$182$148 to $275
Facility feeThe hospital or surgery center$3,162$2,239 to $4,169

How much rates vary

Facilitymedian $3,162 · 10th to 90th $195 to $4,571Professionalmedian $182 · 10th to 90th $107 to $437
$50$100$200$500$1K$2K$5Kfacility $3,162professional $182

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
$194.98
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$194.98
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$354.81
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$891.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$213.80
Typical High
$323.59
Select Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Select Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$223.87
Typical High
$263.03
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$177.83
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$154.88
Typical High
$245.47

Where Utah 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

Utah· 9th of 49

$3,344

$182 physician + $3,162 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.