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Sacroiliac Joint Nerve Injection with Imaging Guidance

Alabama 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.

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

$1,049

Typical total for the visit. In Alabama, July 2026.

Insurers have agreed to pay about $1,049 for this procedure. That total is two separate charges: $178 to the doctor who performs it, and $871 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$178$81.28 to $240
Facility feeThe hospital or surgery center$871$692 to $1,259

How much rates vary

Facilitymedian $871 · 10th to 90th $490 to $1,995Professionalmedian $178 · 10th to 90th $71 to $339
$100$200$500$1K$2Kfacility $871professional $178

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$891.25
Typical High
$2,398.83
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$177.83
Typical High
$338.84
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$147.91
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$154.88
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$1,148.15
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$162.18
Typical High
$338.84

Where Alabama sits

The same service costs 15.6 times more in New Jersey than in Maryland. 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

Alabama· 36th of 49

$1,049

$178 physician + $871 facility

NJ $5,570MD $358

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.