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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.

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

$4,016

Typical total for the visit. In Nebraska, July 2026.

Insurers have agreed to pay about $4,016 for this procedure. That total is two separate charges: $214 to the doctor who performs it, and $3,802 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$214$138 to $427
Facility feeThe hospital or surgery center$3,802$1,549 to $7,943

How much rates vary

Facilitymedian $3,802 · 10th to 90th $191 to $13,490Professionalmedian $214 · 10th to 90th $76 to $537
$100$500$2K$10Kfacility $3,802professional $214

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
$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

Where Nebraska 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

Nebraska· 5th of 49

$4,016

$214 physician + $3,802 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.