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Sacroiliac Joint Nerve Injection with Imaging Guidance

Alaska 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 October 2026.

How much does Sacroiliac Joint Nerve Injection with Imaging Guidance cost?

$1,431

Typical total for the visit. In Alaska, October 2026.

Insurers have agreed to pay about $1,431 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $1,023 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$407$282 to $933
Facility feeThe hospital or surgery center$1,023$832 to $1,778

How much rates vary

Facilitymedian $1,023 · 10th to 90th $537 to $5,888Professionalmedian $407 · 10th to 90th $166 to $1,023
$100$200$500$1K$2K$5K$10Kfacility $1,023professional $407

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
$407.38
Median
$5,888.44
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$407.38
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,000.00
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$229.09
Typical High
$645.65
Moda Health
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$407.38
Typical High
$1,445.44
Moda Health
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$407.38
Typical High
$1,096.48
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$954.99
Typical High
$1,318.26
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$933.25
Providence
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$1,000.00
Typical High
$3,019.95
Providence
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$204.17
Typical High
$524.81
United
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$1,778.28
Typical High
$2,951.21
United
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$446.68
Typical High
$1,047.13

Where Alaska sits

The same service costs 6.8 times more in New York than in North Dakota. 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.

Physician feeFacility fee

Alaska· 10th of 51

$1,431

$407 physician + $1,023 facility

NY $2,910ND $428

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.