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Neurolytic Injection, Epidural Space, Neck/Upper Back

California rates for HCPCS 62281

An injection of a nerve-destroying medication, such as alcohol or phenol, into the epidural space, the area surrounding the spinal cord's protective covering, at the neck or upper-back level, used to permanently interrupt pain signals when other treatments have not worked. It is typically reserved for severe, difficult-to-control pain, often related to cancer. This version targets the epidural space specifically in the neck or upper back, rather than the lower back or the space closer to the spinal cord itself.

Rates data updated July 2026.

How much does Neurolytic Injection, Epidural Space, Neck/Upper Back cost?

$1,349

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $4,169 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 13 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$162 to $417
FacilityA hospital or hospital-owned outpatient department$4,169$2,754 to $6,310

How much rates vary

Facilitymedian $4,169 · 10th to 90th $871 to $12,882Professionalmedian $240 · 10th to 90th $135 to $1,122
$100.0$1.0K$10.0Kfacility $4,169professional $240

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
$1,584.89
Median
$5,623.41
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$245.47
Typical High
$1,445.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,365.16
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$501.19
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$2,951.21
Typical High
$6,456.54
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$204.17
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$275.42
Typical High
$524.81
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$426.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$263.03
Typical High
$501.19
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$19,498.45
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,995.26
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$338.84
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$269.15
Typical High
$457.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$281.84
Typical High
$537.03
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$794.33
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$177.83
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,884.03
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$478.63

Where California sits

The same service costs 6.6 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $1,349 · 1st of 51
CA $1,349WV $204

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.