go back

Sacroiliac Joint Nerve Injection with Imaging Guidance

Missouri 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?

$1,296

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

Insurers have agreed to pay about $1,296 for this procedure. That total is two separate charges: $148 to the doctor who performs it, and $1,148 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$148$87.10 to $309
Facility feeThe hospital or surgery center$1,148$479 to $2,042

How much rates vary

Facilitymedian $1,148 · 10th to 90th $347 to $3,631Professionalmedian $148 · 10th to 90th $78 to $617
$100$200$500$1K$2K$5Kfacility $1,148professional $148

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
$229.09
Median
$3,162.28
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$190.55
Typical High
$229.09
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$1,621.81
Typical High
$3,890.45
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$91.20
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$112.20
Median
$134.90
Typical High
$208.93
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$229.09
Typical High
$288.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$562.34
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$177.83
Typical High
$323.59
Medica
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$645.65
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$616.60
Typical High
$1,905.46
United
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$1,148.15
Typical High
$2,238.72
United
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$181.97
Typical High
$371.54

Where Missouri 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

Missouri· 14th of 51

$1,296

$148 physician + $1,148 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.