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Sacroiliac Joint Nerve Injection with Imaging Guidance

Massachusetts 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 $1,288 · 10th–90th $95$3,7150%10%10th90th$1,288Professionalmedian $224 · 10th–90th $81$6030%5%10%10th90th$224$50.0$200.0$1.0K$5.0K$20.0K

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
$239.88
Median
$2,238.72
Typical High
$3,715.35
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$870.96
Median
$1,445.44
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$208.93
Typical High
$346.74
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$218.78
Median
$218.78
Typical High
$1,380.38
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,445.44
Typical High
$3,801.89
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$218.78
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$275.42
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$213.80
Typical High
$549.54
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$436.52
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,511.89
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$251.19
Typical High
$616.60
Health New England
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,778.28
Health New England
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$204.17
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,445.44
Typical High
$3,801.89
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$218.78
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,089.30
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$229.09
Typical High
$645.65