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Sacroiliac Joint Nerve Injection with Imaging Guidance

Arkansas 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?

$834

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

Insurers have agreed to pay about $834 for this procedure. That total is two separate charges: $174 to the doctor who performs it, and $661 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$174$97.72 to $251
Facility feeThe hospital or surgery center$661$363 to $741

How much rates vary

Facilitymedian $661 · 10th to 90th $302 to $1,122Professionalmedian $174 · 10th to 90th $93 to $331
$100$200$500$1K$2Kfacility $661professional $174

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
$97.72
Median
$1,000.00
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$177.83
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
BCBS Arkansas
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$660.69
Typical High
$891.25
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$123.03
Typical High
$331.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$416.87
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$169.82
Typical High
$426.58
Qualchoice
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
United
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$389.05
Typical High
$1,548.82
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$173.78
Typical High
$346.74

Where Arkansas 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

Arkansas· 32nd of 51

$834

$174 physician + $661 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.