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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 July 2026.

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

$1,880

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

Insurers have agreed to pay about $1,880 for this procedure. That total is two separate charges: $182 to the doctor who performs it, and $1,698 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$182$83.18 to $269
Facility feeThe hospital or surgery center$1,698$813 to $3,020

How much rates vary

Facilitymedian $1,698 · 10th to 90th $195 to $5,012Professionalmedian $182 · 10th to 90th $78 to $490
$100$200$500$1K$2K$5Kfacility $1,698professional $182

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
$190.55
Median
$2,238.72
Typical High
$5,754.40
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$199.53
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$218.78
Median
$295.12
Typical High
$302.00
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,778.28
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$89.13
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$109.65
Median
$134.90
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$234.42
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$186.21
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$213.80
Typical High
$1,412.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$338.84
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,047.13
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$194.98
Typical High
$371.54

Where Missouri 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

Missouri· 23rd of 49

$1,880

$182 physician + $1,698 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.