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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.

Facilitymedian $2,754 · 10th–90th $81$6,3100%10%20%10th90th$2,754Professionalmedian $204 · 10th–90th $78$3470%20%10th90th$204$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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