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Upper Neck Spinal Fluid Puncture with Injection

West 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?

$225

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

Insurers have agreed to pay about $225 for this procedure. That total is two separate charges: $117 to the doctor who performs it, and $107 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$117$107 to $141
Facility feeThe hospital or surgery center$107$107 to $1,230

How much rates vary

Facilitymedian $107 · 10th to 90th $107 to $1,413Professionalmedian $117 · 10th to 90th $105 to $186
$100$200$500$1Kfacility $107professional $117

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
$107.15
Median
$107.15
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$107.15
Typical High
$141.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$147.91
CareSource
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$537.03
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$141.25
Typical High
$218.78

Where West 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

West Virginia· 49th of 49

$225

$117 physician + $107 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.