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Sacroiliac Joint Nerve Injection with Imaging Guidance

North Carolina 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?

$576

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $576 for this procedure. That total is two separate charges: $204 to the doctor who performs it, and $372 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$204$110 to $295
Facility feeThe hospital or surgery center$372$158 to $1,862

How much rates vary

Facilitymedian $372 · 10th to 90th $79 to $5,495Professionalmedian $204 · 10th to 90th $79 to $457
$100$200$500$1K$2K$5Kfacility $372professional $204

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
$79.43
Median
$1,122.02
Typical High
$7,585.78
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$199.53
Typical High
$446.68
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$208.93
Median
$218.78
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$245.47
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$602.56
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$213.80
Typical High
$446.68
Medcost
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$199.53
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,187.76
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$173.78
Typical High
$346.74
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,187.76
Typical High
$2,187.76
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46

Where North Carolina 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

North Carolina· 44th of 49

$576

$204 physician + $372 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.