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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 October 2026.

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

$1,129

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

Insurers have agreed to pay about $1,129 for this procedure. That total is two separate charges: $151 to the doctor who performs it, and $977 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$151$112 to $355
Facility feeThe hospital or surgery center$977$575 to $3,388

How much rates vary

Facilitymedian $977 · 10th to 90th $457 to $7,244Professionalmedian $151 · 10th to 90th $78 to $550
$100$200$500$1K$2K$5K$10Kfacility $977professional $151

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
$208.93
Median
$3,801.89
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$208.93
Typical High
$354.81
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$6,760.83
Typical High
$13,803.84
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$120.23
Typical High
$165.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$645.65
Typical High
$724.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$407.38
Typical High
$537.03
Medica
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$630.96
Typical High
$2,290.87
Medica
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$549.54
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$478.63
Typical High
$602.56
Midlands
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$645.65
Typical High
$1,000.00
Midlands
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$389.05
Typical High
$724.44
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$177.83
Typical High
$501.19
United
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$851.14
Typical High
$2,754.23
United
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$257.04
Typical High
$549.54

Where Nebraska 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

Nebraska· 17th of 51

$1,129

$151 physician + $977 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.