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Sacroiliac Joint Nerve Injection with Imaging Guidance

Oregon 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?

$660

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

Insurers have agreed to pay about $660 for this procedure. That total is two separate charges: $214 to the doctor who performs it, and $447 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$214$145 to $437
Facility feeThe hospital or surgery center$447$240 to $479

How much rates vary

Facilitymedian $447 · 10th to 90th $138 to $3,236Professionalmedian $214 · 10th to 90th $79 to $575
$100$200$500$1K$2K$5Kfacility $447professional $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
$208.93
Median
$2,884.03
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$208.93
Typical High
$562.34
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$218.78
Median
$295.12
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$229.09
Typical High
$588.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$602.56
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$204.17
Typical High
$501.19
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$346.74
Typical High
$575.44
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$446.68
Typical High
$446.68
Providence
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$218.78
Typical High
$512.86
Providence
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$229.09
Typical High
$588.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,238.72
Typical High
$2,951.21
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,630.27
Median
$3,388.44
Typical High
$4,365.16
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$275.42
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,238.72
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$239.88
Typical High
$512.86

Where Oregon 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

Oregon· 42nd of 49

$660

$214 physician + $447 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.