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Sacroiliac Joint Nerve Injection with Imaging Guidance

Kentucky 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?

$1,055

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

Insurers have agreed to pay about $1,055 for this procedure. That total is two separate charges: $100 to the doctor who performs it, and $955 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$100$69.18 to $204
Facility feeThe hospital or surgery center$955$209 to $3,890

How much rates vary

Facilitymedian $955 · 10th to 90th $78 to $10,715Professionalmedian $100 · 10th to 90th $63 to $275
$100$200$500$1K$2K$5K$10Kfacility $955professional $100

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
$77.62
Median
$416.87
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$173.78
Typical High
$338.84
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$128.82
Median
$128.82
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$63.10
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$79.43
Median
$93.33
Typical High
$120.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$102.33
Typical High
$131.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$102.33
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$257.04
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,445.44
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$165.96
Typical High
$331.13

Where Kentucky 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

Kentucky· 35th of 49

$1,055

$100 physician + $955 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.