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Sacroiliac Joint Nerve Injection with Imaging Guidance

Louisiana 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?

$819

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

Insurers have agreed to pay about $819 for this procedure. That total is two separate charges: $174 to the doctor who performs it, and $646 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$174$115 to $288
Facility feeThe hospital or surgery center$646$398 to $1,288

How much rates vary

Facilitymedian $646 · 10th to 90th $316 to $2,399Professionalmedian $174 · 10th to 90th $89 to $339
$100$200$500$1K$2Kfacility $646professional $174

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
$309.03
Median
$1,288.25
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$208.93
Typical High
$309.03
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$776.25
Typical High
$2,630.27
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$147.91
Typical High
$338.84
Christus
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$630.96
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$158.49
Typical High
$331.13
United
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$645.65
Typical High
$2,137.96
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$177.83
Typical High
$331.13

Where Louisiana 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

Louisiana· 33rd of 51

$819

$174 physician + $646 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.