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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 July 2026.

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

$1,611

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

Insurers have agreed to pay about $1,611 for this procedure. That total is two separate charges: $132 to the doctor who performs it, and $1,479 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$132$93.33 to $245
Facility feeThe hospital or surgery center$1,479$282 to $2,570

How much rates vary

Facilitymedian $1,479 · 10th to 90th $112 to $4,898Professionalmedian $132 · 10th to 90th $72 to $302
$100$200$500$1K$2K$5Kfacility $1,479professional $132

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
$112.20
Median
$1,479.11
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$177.83
Typical High
$302.00
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$112.20
Typical High
$117.49
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$120.23
Median
$120.23
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$165.96
Typical High
$331.13
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$616.60
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$223.87
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,584.89
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$173.78
Typical High
$295.12

Where Michigan 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

Michigan· 27th of 49

$1,611

$132 physician + $1,479 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.