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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 October 2026.

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

$1,010

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

Insurers have agreed to pay about $1,010 for this procedure. That total is two separate charges: $251 to the doctor who performs it, and $759 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$251$162 to $490
Facility feeThe hospital or surgery center$759$490 to $1,950

How much rates vary

Facilitymedian $759 · 10th to 90th $257 to $3,802Professionalmedian $251 · 10th to 90th $117 to $575
$100$200$500$1K$2K$5Kfacility $759professional $251

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$2,630.27
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$204.17
Typical High
$316.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$660.69
Typical High
$812.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$257.04
Typical High
$537.03
Hally Health
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$223.87
Typical High
$794.33
Medica
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$575.44
Typical High
$2,187.76
Medica
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$489.78
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$426.58
Typical High
$501.19
Midlands
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$645.65
Typical High
$812.83
Midlands
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$588.84
Typical High
$794.33
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$177.83
Typical High
$501.19
United
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$1,659.59
Typical High
$4,073.80
United
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$218.78
Typical High
$501.19
Wellmark
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$380.19
Typical High
$562.34

Where Iowa 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

Iowa· 22nd of 51

$1,010

$251 physician + $759 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.