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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.

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

$1,512

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

Insurers have agreed to pay about $1,512 for this procedure. That total is two separate charges: $224 to the doctor who performs it, and $1,288 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$224$107 to $324
Facility feeThe hospital or surgery center$1,288$112 to $2,512

How much rates vary

Facilitymedian $1,288 · 10th to 90th $95 to $3,715Professionalmedian $224 · 10th to 90th $81 to $603
$100$200$500$1K$2K$5Kfacility $1,288professional $224

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
$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

Where Massachusetts 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

Massachusetts· 29th of 49

$1,512

$224 physician + $1,288 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.