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Sacroiliac Joint Nerve Injection with Imaging Guidance

Pennsylvania 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?

$803

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

Insurers have agreed to pay about $803 for this procedure. That total is two separate charges: $214 to the doctor who performs it, and $589 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 11 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$214$87.10 to $240
Facility feeThe hospital or surgery center$589$380 to $1,514

How much rates vary

Facilitymedian $589 · 10th to 90th $229 to $2,951Professionalmedian $214 · 10th to 90th $78 to $339
$100$200$500$1K$2K$5Kfacility $589professional $214

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
$213.80
Median
$1,819.70
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$194.98
Typical High
$239.88
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$3,019.95
Typical High
$56,234.13
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$223.87
Typical High
$398.11
Capital Blue Cross
Setting
Professional
Modifier
50 · Both sides
Typical Low
$323.59
Median
$338.84
Typical High
$602.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$562.34
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$190.55
Typical High
$316.23
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$407.38
Typical High
$407.38
Geisinger
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$467.74
Typical High
$831.76
Geisinger
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$251.19
Typical High
$416.87
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$478.63
Typical High
$3,981.07
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$1,737.80
Typical High
$6,606.93
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$194.98
Typical High
$239.88
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$269.15
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$851.14
Typical High
$1,659.59
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$218.78
Typical High
$229.09
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$436.52
Typical High
$2,089.30
United
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$169.82
Typical High
$331.13

Where Pennsylvania 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

Pennsylvania· 35th of 51

$803

$214 physician + $589 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.