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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 October 2026.

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

$699

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

Insurers have agreed to pay about $699 for this procedure. That total is two separate charges: $174 to the doctor who performs it, and $525 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$174$81.28 to $229
Facility feeThe hospital or surgery center$525$372 to $776

How much rates vary

Facilitymedian $525 · 10th to 90th $229 to $1,698Professionalmedian $174 · 10th to 90th $72 to $263
$100$200$500$1K$2K$5Kfacility $525professional $174

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$77.62
Median
$229.09
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$177.83
Typical High
$239.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$630.96
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$165.96
Typical High
$263.03
United
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$398.11
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$162.18
Typical High
$281.84

Where Delaware 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

Delaware· 42nd of 51

$699

$174 physician + $525 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.