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Sacroiliac Joint Nerve Injection with Imaging Guidance

Nebraska 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.

Facilitymedian $3,802 · 10th–90th $191$13,4900%5%10%10th90th$3,802Professionalmedian $214 · 10th–90th $76$5250%10%10th90th$214$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,365.16
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$213.80
Typical High
$1,318.26
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
$5,011.87
Median
$6,456.54
Typical High
$12,589.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$186.21
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$323.59
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$281.84
Typical High
$1,023.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$407.38
Typical High
$616.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$426.58
Typical High
$645.65
Midlands
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$724.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$177.83
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$1,071.52
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$239.88
Typical High
$549.54