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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 October 2026.

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

$890

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

Insurers have agreed to pay about $890 for this procedure. That total is two separate charges: $166 to the doctor who performs it, and $724 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$166$115 to $288
Facility feeThe hospital or surgery center$724$631 to $724

How much rates vary

Facilitymedian $724 · 10th to 90th $407 to $1,445Professionalmedian $166 · 10th to 90th $79 to $339
$100$200$500$1K$2Kfacility $724professional $166

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$933.25
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$194.98
Typical High
$338.84
BCBS Alabama
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$724.44
Typical High
$724.44
BCBS Alabama
Setting
Professional
Modifier
32 · Mandated service
Typical Low
$154.88
Median
$208.93
Typical High
$302.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$457.09
Typical High
$630.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$154.88
Typical High
$295.12
United
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$645.65
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$162.18
Typical High
$323.59
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Alabama
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52

Where Alabama 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

Alabama· 29th of 51

$890

$166 physician + $724 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.