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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 July 2026.

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

$513

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

Insurers have agreed to pay about $513 for this procedure. That total is two separate charges: $204 to the doctor who performs it, and $309 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$204$145 to $417
Facility feeThe hospital or surgery center$309$135 to $479

How much rates vary

Facilitymedian $309 · 10th to 90th $115 to $2,291Professionalmedian $204 · 10th to 90th $79 to $562
$100$200$500$1K$2Kfacility $309professional $204

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
$79.43
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$194.98
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$281.84
Typical High
$398.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$446.68
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$186.21
Typical High
$478.63
Midlands
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$436.52
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$223.87
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$223.87
Typical High
$575.44
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$177.83
Typical High
$588.84

Where South Dakota 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

South Dakota· 45th of 49

$513

$204 physician + $309 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.