Neurolytic Injection, Epidural Space, Neck/Upper Back
West Virginia 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?
$204
Typical negotiated rate. In West Virginia, July 2026.
Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $209 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 4 insurance carriers under federal price transparency rules.
Where it's billed changes the price
Billed by
Who charges it
Typical
Range
Physician practiceA doctor's office, clinic or independent provider
A doctor's office, clinic or independent provider
$204
$158 to $251
FacilityA hospital or hospital-owned outpatient department
A hospital or hospital-owned outpatient department
$209
$145 to $240
How much rates vary
Facilitymedian $209 · 10th to 90th $145 to $1,413Professionalmedian $204 · 10th to 90th $135 to $288
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$1,230.27
Facility
Global
$144.54
$208.93
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$204.17
Typical High
$269.15
Professional
Global
$134.90
$204.17
$269.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$199.53
Facility
Global
$165.96
$165.96
$199.53
CareSource
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Professional
Global
$177.83
$177.83
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$1,318.26
Facility
Global
$239.88
$239.88
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$263.03
Typical High
$1,659.59
Professional
Global
$162.18
$263.03
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,548.82
Typical High
$2,454.71
Facility
Global
$537.03
$1,548.82
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$218.78
Typical High
$426.58
Professional
Global
$125.89
$218.78
$426.58
Where West Virginia 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.