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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 July 2026.

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

$1,575

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

Insurers have agreed to pay about $1,575 for this procedure. That total is two separate charges: $195 to the doctor who performs it, and $1,380 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$195$89.13 to $257
Facility feeThe hospital or surgery center$1,380$603 to $2,399

How much rates vary

Facilitymedian $1,380 · 10th to 90th $209 to $3,162Professionalmedian $195 · 10th to 90th $76 to $339
$100$200$500$1K$2K$5Kfacility $1,380professional $195

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
$173.78
Median
$1,380.38
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$194.98
Typical High
$302.00
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$218.78
Median
$218.78
Typical High
$1,318.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,479.11
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$218.78
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$194.98
Typical High
$371.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$2,187.76
Typical High
$2,187.76
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,380.38
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$177.83
Typical High
$380.19

Where Tennessee 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

Tennessee· 28th of 49

$1,575

$195 physician + $1,380 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.