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Sacroiliac Joint Nerve Injection with Imaging Guidance

Delaware 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?

$3,431

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

Insurers have agreed to pay about $3,431 for this procedure. That total is two separate charges: $195 to the doctor who performs it, and $3,236 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 3 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$195$77.62 to $229
Facility feeThe hospital or surgery center$3,236$437 to $7,244

How much rates vary

Facilitymedian $3,236 · 10th to 90th $85 to $7,244Professionalmedian $195 · 10th to 90th $74 to $263
$100$200$500$1K$2K$5Kfacility $3,236professional $195

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$194.98
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$173.78
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$436.52
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$173.78
Typical High
$331.13

Where Delaware 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

Delaware· 6th of 49

$3,431

$195 physician + $3,236 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.