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Sacroiliac Joint Nerve Injection with Imaging Guidance

Maryland 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?

$200

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $81.28 to $240.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $158 · 10th to 90th $112 to $513Professionalmedian $200 · 10th to 90th $78 to $316
$100$200$500$1Kfacility $158professional $200

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$199.53
Typical High
$251.19
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$295.12
Median
$309.03
Typical High
$316.23
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$190.55
Typical High
$407.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$295.12
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$141.25
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$173.78
Typical High
$371.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$295.12
Typical High
$371.54

Where Maryland sits

The same service costs 4.2 times more in California than in Kentucky. 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.

Maryland· 38th of 51

$200

CA $457KY $110

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.