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Sacroiliac Joint Nerve Injection with Imaging Guidance

South Dakota 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?

$687

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $687 for this procedure. That total is two separate charges: $240 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$240$178 to $490
Facility feeThe hospital or surgery center$447$282 to $537

How much rates vary

Facilitymedian $447 · 10th to 90th $115 to $759Professionalmedian $240 · 10th to 90th $135 to $603
$100$200$500$1K$2Kfacility $447professional $240

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
$79.43
Median
$213.80
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$194.98
Typical High
$229.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$426.58
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$269.15
Typical High
$549.54
Medica
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$331.13
Typical High
$758.58
Medica
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$524.81
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$478.63
Midlands
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$524.81
Typical High
$630.96
Midlands
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$436.52
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$199.53
Typical High
$436.52
United
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$537.03
Typical High
$758.58
United
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$223.87
Typical High
$602.56
Wellmark
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$177.83
Typical High
$588.84

Where South Dakota 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

South Dakota· 45th of 51

$687

$240 physician + $447 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.