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Sacroiliac Joint Nerve Injection with Imaging Guidance

Montana 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?

$469

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

Insurers have agreed to pay about $469 for this procedure. That total is two separate charges: $200 to the doctor who performs it, and $269 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$200$107 to $316
Facility feeThe hospital or surgery center$269$138 to $398

How much rates vary

Facilitymedian $269 · 10th to 90th $132 to $427Professionalmedian $200 · 10th to 90th $74 to $398
$100$1K$10K$100Kfacility $269professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$199.53
Typical High
$316.23
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$295.12
Median
$295.12
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$323.59
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$251.19
Typical High
$398.11
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$251.19
Typical High
$398.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$194.98
Typical High
$478.63
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$162.18
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$194.98
Typical High
$380.19

Where Montana 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

Montana· 47th of 49

$469

$200 physician + $269 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.