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Sacroiliac Joint Nerve Injection with Imaging Guidance

New York 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?

$3,319

Typical total for the visit. In New York, July 2026.

Insurers have agreed to pay about $3,319 for this procedure. That total is two separate charges: $229 to the doctor who performs it, and $3,090 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$229$115 to $302
Facility feeThe hospital or surgery center$3,090$1,230 to $4,677

How much rates vary

Facilitymedian $3,090 · 10th to 90th $151 to $7,413Professionalmedian $229 · 10th to 90th $81 to $537
$100$200$500$1K$2K$5K$10Kfacility $3,090professional $229

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
$112.20
Median
$2,570.40
Typical High
$7,762.47
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$199.53
Typical High
$426.58
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$295.12
Median
$295.12
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$251.19
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$309.03
Median
$380.19
Typical High
$831.76
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$234.42
Typical High
$691.83
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$97.72
Typical High
$275.42
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$512.86
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$269.15
Typical High
$478.63
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,951.21
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$257.04
Typical High
$870.96
Univera
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$134.90
Univera
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$239.88
Typical High
$457.09

Where New York 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

New York· 8th of 49

$3,319

$229 physician + $3,090 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.