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Sacroiliac Joint Nerve Injection with Imaging Guidance

Florida 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?

$3,410

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

Insurers have agreed to pay about $3,410 for this procedure. That total is two separate charges: $174 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 8 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 $234
Facility feeThe hospital or surgery center$3,236$1,514 to $6,607

How much rates vary

Facilitymedian $3,236 · 10th to 90th $646 to $10,715Professionalmedian $174 · 10th to 90th $71 to $302
$100$200$500$1K$2K$5K$10Kfacility $3,236professional $174

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
$549.54
Median
$3,311.31
Typical High
$10,964.78
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$524.81
Median
$575.44
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$177.83
Typical High
$302.00
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$120.23
Median
$1,584.89
Typical High
$1,659.59
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$128.82
Median
$128.82
Typical High
$346.74
AvMed
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$4,073.80
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$199.53
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$371.54
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$169.82
Typical High
$380.19
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,311.31
Typical High
$7,413.10
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$177.83
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$75.86
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$2,290.87
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$158.49
Typical High
$331.13
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$169.82
Typical High
$245.47

Where Florida 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

Florida· 7th of 49

$3,410

$174 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.