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Sacroiliac Joint Nerve Injection with Imaging Guidance

Michigan 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?

$758

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

Insurers have agreed to pay about $758 for this procedure. That total is two separate charges: $209 to the doctor who performs it, and $550 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$209$107 to $269
Facility feeThe hospital or surgery center$550$398 to $776

How much rates vary

Facilitymedian $550 · 10th to 90th $288 to $1,413Professionalmedian $209 · 10th to 90th $100 to $282
$100$200$500$1K$2K$5Kfacility $550professional $209

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
$104.71
Median
$281.84
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$194.98
Typical High
$275.42
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$562.34
Typical High
$954.99
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$165.96
Typical High
$354.81
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$338.84
Typical High
$2,884.03
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$245.47
Typical High
$288.40
Priority Health
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$165.96
Typical High
$331.13
United
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$426.58
Typical High
$1,995.26
United
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$181.97
Typical High
$263.03
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Michigan
Setting
Professional
Modifier
50 · Both sides
Typical Low
$120.23
Median
$120.23
Typical High
$398.11

Where Michigan 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

Michigan· 39th of 51

$758

$209 physician + $550 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.