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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.

Facilitymedian $2,884 · 10th–90th $1,000$2,8840%50%10th$2,884Professionalmedian $141 · 10th–90th $74$3020%10%20%10th90th$141$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$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