go back

Sacroiliac Joint Nerve Injection with Imaging Guidance

Utah 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?

$1,397

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

Insurers have agreed to pay about $1,397 for this procedure. That total is two separate charges: $195 to the doctor who performs it, and $1,202 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$195$151 to $245
Facility feeThe hospital or surgery center$1,202$347 to $2,818

How much rates vary

Facilitymedian $1,202 · 10th to 90th $115 to $4,169Professionalmedian $195 · 10th to 90th $107 to $355
$100$200$500$1K$2K$5Kfacility $1,202professional $195

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
$114.82
Median
$2,951.21
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$194.98
Typical High
$295.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$467.74
Typical High
$478.63
Cigna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$218.78
Typical High
$269.15
Molina
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$199.53
Typical High
$234.42
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,412.54
Typical High
$2,089.30
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$263.03
Typical High
$416.87
Select Health
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Select Health
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$104.71
Typical High
$123.03
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$323.59
Typical High
$524.81
United
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$1,202.26
Typical High
$2,818.38
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$173.78
Typical High
$302.00
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,698.24
Median
$2,137.96
Typical High
$3,090.30

Where Utah 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

Utah· 12th of 51

$1,397

$195 physician + $1,202 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.