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Neurolytic Injection, Epidural Space, Neck/Upper Back

Hawaii 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 October 2026.

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

$302

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $871 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$295$155 to $309
FacilityA hospital or hospital-owned outpatient department$871$813 to $1,175

How much rates vary

Facilitymedian $871 · 10th to 90th $724 to $2,884Professionalmedian $295 · 10th to 90th $30 to $339
$50$100$200$500$1K$2Kfacility $871professional $295

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
Facility
Modifier
None
Typical Low
$691.83
Median
$2,818.38
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$199.53
Typical High
$323.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$812.83
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$269.15
Typical High
$371.54
United
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,148.15
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$309.03
Typical High
$309.03
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$190.55
Typical High
$338.84

Where Hawaii sits

The same service costs 4.2 times more in Alaska than in 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.

Hawaii· 14th of 51

$302

AK $776VA $186

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.