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Sacroiliac Joint Nerve Injection with Imaging Guidance

Hawaii 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?

$200

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $79.43 to $245.

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 $2,884 · 10th to 90th $1,000 to $2,884Professionalmedian $141 · 10th to 90th $74 to $302
$50$100$200$500$1K$2Kfacility $2,884professional $141

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
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$269.15
Typical High
$363.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$288.40
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$245.47
Typical High
$338.84
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$107.15
Typical High
$302.00

Where Hawaii 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.

Hawaii· 39th of 51

$200

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.