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Neurolytic Injection, Epidural Space, Neck/Upper Back

Maryland 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?

$219

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $219 for this service. Most negotiated rates run $158 to $269.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $158 · 10th to 90th $123 to $447Professionalmedian $219 · 10th to 90th $145 to $363
$200$500$1Kfacility $158professional $219

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. 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
Global
Typical Low
$144.54
Median
$204.17
Typical High
$275.42
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$257.04
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$302.00
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$147.91
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$257.04
Typical High
$457.09
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$380.19

Where Maryland sits

The same service costs 6.6 times more in California 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.

Maryland· 49th of 51

$219

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.