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Upper Neck Spinal Fluid Puncture with Injection

Vermont 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?

$174

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $174 for this service. Most negotiated rates run $148 to $240.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $380 · 10th to 90th $309 to $501Professionalmedian $174 · 10th to 90th $148 to $288
$100$200$500facility $380professional $174

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
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$380.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$275.42
United
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$194.98
Typical High
$295.12

Where Vermont sits

The same service costs 3.9 times more in Wisconsin than in New York. 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.

Vermont· 36th of 51

$174

WI $490NY $126

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.