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Sacroiliac Joint Nerve Injection with Imaging Guidance

Nationwide rates for HCPCS 64451

This is an injection of numbing medication and often a steroid around the small nerves that supply the sacroiliac joint, the joint connecting the base of the spine to the pelvis, guided by live X-ray or CT imaging to place the needle precisely. It is used both to help diagnose whether this joint is a source of low back pain and to reduce pain and inflammation.

Rates data updated July 2026.

Facilitymedian $2,512 · 10th–90th $178$7,7620%5%10%10th90th$2,512Professionalmedian $204 · 10th–90th $76$5250%10%10th90th$204$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$2,511.89
Typical High
$8,709.64
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$501.19
Median
$1,862.09
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$194.98
Typical High
$436.52
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$218.78
Median
$295.12
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,715.35
Typical High
$9,549.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$316.23
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$100.00
Median
$177.83
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$691.83
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$213.80
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,778.28
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$186.21
Typical High
$407.38