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Sacroiliac Joint Nerve Injection with Imaging Guidance

North Dakota 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?

$423

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

Insurers have agreed to pay about $423 for this procedure. That total is two separate charges: $209 to the doctor who performs it, and $214 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$209$158 to $437
Facility feeThe hospital or surgery center$214$79.43 to $234

How much rates vary

Facilitymedian $214 · 10th to 90th $79 to $1,995Professionalmedian $209 · 10th to 90th $79 to $525
$100$200$500$1K$2K$5Kfacility $214professional $209

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
$213.80
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$208.93
Typical High
$234.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$229.09
Typical High
$562.34
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$239.88
Median
$346.74
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$257.04
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$213.80
Typical High
$389.05
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$380.19
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,819.70
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$208.93
Typical High
$501.19

Where North Dakota 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 Dakota· 48th of 49

$423

$209 physician + $214 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.