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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 October 2026.

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

$552

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

Insurers have agreed to pay about $552 for this procedure. That total is two separate charges: $145 to the doctor who performs it, and $407 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$145$123 to $355
Facility feeThe hospital or surgery center$407$126 to $427

How much rates vary

Facilitymedian $407 · 10th to 90th $123 to $631Professionalmedian $145 · 10th to 90th $79 to $372
$100$200$500$1Kfacility $407professional $145

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
Professional
Modifier
None
Typical Low
$74.13
Median
$186.21
Typical High
$316.23
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$363.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$630.96
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$165.96
Typical High
$363.08
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$154.88
Typical High
$446.68
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$131.83
Typical High
$436.52
Providence
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$630.96
Typical High
$1,778.28
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$128.82
Typical High
$371.54
United
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$616.60
Typical High
$954.99
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$194.98
Typical High
$380.19

Where Montana 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

Montana· 49th of 51

$552

$145 physician + $407 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.