go back

Upper Neck Spinal Fluid Puncture with Injection

Virginia 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?

$1,839

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

Insurers have agreed to pay about $1,839 for this procedure. That total is two separate charges: $141 to the doctor who performs it, and $1,698 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$141$117 to $186
Facility feeThe hospital or surgery center$1,698$182 to $3,631

How much rates vary

Facilitymedian $1,698 · 10th to 90th $141 to $7,079Professionalmedian $141 · 10th to 90th $112 to $1,820
$100$200$500$1K$2K$5K$10Kfacility $1,698professional $141

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
$141.25
Median
$3,235.94
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$3,235.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$208.93
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$338.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$295.12
Medcost
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$275.42
Medcost
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$269.15
Sentara
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$1,659.59
Sentara
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$165.96
Typical High
$257.04

Where Virginia 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

Virginia· 25th of 49

$1,839

$141 physician + $1,698 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.