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Sacroiliac Joint Nerve Injection with Imaging Guidance

Iowa 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?

$2,505

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

Insurers have agreed to pay about $2,505 for this procedure. That total is two separate charges: $214 to the doctor who performs it, and $2,291 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$214$117 to $331
Facility feeThe hospital or surgery center$2,291$501 to $3,802

How much rates vary

Facilitymedian $2,291 · 10th to 90th $191 to $6,761Professionalmedian $214 · 10th to 90th $76 to $562
$100$200$500$1K$2K$5K$10Kfacility $2,291professional $214

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
$323.59
Median
$3,388.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$204.17
Typical High
$489.78
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$257.04
Typical High
$676.08
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$269.15
Typical High
$831.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$426.58
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$380.19
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$478.63
Typical High
$588.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$588.84
Typical High
$794.33
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$177.83
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,819.70
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$213.80
Typical High
$549.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$380.19
Typical High
$501.19

Where Iowa 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

Iowa· 16th of 49

$2,505

$214 physician + $2,291 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.