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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 October 2026.

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

$2,910

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

Insurers have agreed to pay about $2,910 for this procedure. That total is two separate charges: $219 to the doctor who performs it, and $2,692 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$219$186 to $257
Facility feeThe hospital or surgery center$2,692$1,047 to $3,890

How much rates vary

Facilitymedian $2,692 · 10th to 90th $479 to $5,248Professionalmedian $219 · 10th to 90th $89 to $316
$50$200$1K$5Kfacility $2,692professional $219

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
$251.19
Median
$3,890.45
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$229.09
Typical High
$269.15
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$3,162.28
Typical High
$4,897.79
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$245.47
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$309.03
Median
$363.08
Typical High
$407.38
CDPHP
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$316.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$891.25
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$199.53
Typical High
$436.52
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$89.13
Typical High
$295.12
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$288.40
Typical High
$436.52
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$223.87
Typical High
$269.15
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$25,118.86
Typical High
$36,307.81
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$446.68
United
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$1,737.80
Typical High
$4,897.79
United
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$165.96
Typical High
$354.81
Univera
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$128.82
Typical High
$257.04
Univera
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$208.93
Typical High
$257.04

Where New York 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

New York· 1st of 51

$2,910

$219 physician + $2,692 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.