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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.

Facilitymedian $309 · 10th–90th $115$2,2910%10%10th90th$309Professionalmedian $204 · 10th–90th $79$5620%10%10th90th$204$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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