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Sacroiliac Joint Nerve Injection with Imaging Guidance

Washington, DC 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?

$240

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $240 for this service. Most negotiated rates run $81.28 to $537.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,754 · 10th to 90th $81 to $6,310Professionalmedian $204 · 10th to 90th $78 to $347
$100$200$500$1K$2K$5Kfacility $2,754professional $204

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
$81.28
Median
$2,754.23
Typical High
$7,762.47
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$199.53
Typical High
$346.74
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$1,380.38
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$199.53
Typical High
$537.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,089.30
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$199.53
Typical High
$489.78

Where Washington, DC sits

The same service costs 4.2 times more in California than in Kentucky. 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.

Washington, DC· 11th of 51

$240

CA $457KY $110

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.