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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 October 2026.

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

$428

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

Insurers have agreed to pay about $428 for this procedure. That total is two separate charges: $214 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$214$158 to $479
Facility feeThe hospital or surgery center$214$79.43 to $617

How much rates vary

Facilitymedian $214 · 10th to 90th $79 to $759Professionalmedian $214 · 10th to 90th $120 to $562
$100$200$500$1K$2K$5Kfacility $214professional $214

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
Facility
Modifier
None
Typical Low
$79.43
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$169.82
Typical High
$229.09
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$213.80
Typical High
$575.44
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$173.78
Median
$257.04
Typical High
$691.83
BCBS North Dakota
Setting
Professional
Modifier
50 · Both sides
Typical Low
$218.78
Median
$323.59
Typical High
$870.96
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$100.00
Median
$151.36
Typical High
$407.38
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$107.15
Median
$162.18
Typical High
$436.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$457.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$251.19
Typical High
$630.96
Medica
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$239.88
Typical High
$758.58
Medica
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$407.38
Typical High
$616.60
United
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$616.60
Typical High
$758.58
United
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$208.93
Typical High
$426.58

Where North Dakota 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

North Dakota· 51st of 51

$428

$214 physician + $214 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.