go back

Sacroiliac Joint Nerve Injection with Imaging Guidance

Tennessee 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?

$1,075

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

Insurers have agreed to pay about $1,075 for this procedure. That total is two separate charges: $204 to the doctor who performs it, and $871 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$204$102 to $295
Facility feeThe hospital or surgery center$871$525 to $1,514

How much rates vary

Facilitymedian $871 · 10th to 90th $407 to $2,291Professionalmedian $204 · 10th to 90th $78 to $1,905
$100$200$500$1K$2K$5Kfacility $871professional $204

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
$208.93
Median
$1,949.84
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$194.98
Typical High
$288.40
BCBS Tennessee
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$812.83
Typical High
$1,905.46
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$208.93
Typical High
$346.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$602.56
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$194.98
Typical High
$316.23
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$2,089.30
Typical High
$2,089.30
United
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$1,047.13
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$173.78
Typical High
$363.08

Where Tennessee 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

Tennessee· 18th of 51

$1,075

$204 physician + $871 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.