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Sacroiliac Joint Nerve Injection with Imaging Guidance

Virginia 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?

$1,328

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

Insurers have agreed to pay about $1,328 for this procedure. That total is two separate charges: $97.72 to the doctor who performs it, and $1,230 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$97.72$83.18 to $219
Facility feeThe hospital or surgery center$1,230$355 to $2,455

How much rates vary

Facilitymedian $1,230 · 10th to 90th $105 to $4,786Professionalmedian $98 · 10th to 90th $74 to $288
$100$200$500$1K$2K$5K$10Kfacility $1,230professional $98

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
$97.72
Median
$2,818.38
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$208.93
Typical High
$239.88
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,398.83
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$91.20
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$114.82
Median
$134.90
Typical High
$165.96
CareFirst
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$89.13
Typical High
$117.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$616.60
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$181.97
Typical High
$302.00
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$281.84
Typical High
$354.81
Medcost
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Medcost
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$138.04
Typical High
$354.81
Medcost
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$190.55
Typical High
$288.40
Sentara
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$616.60
Typical High
$2,951.21
Sentara
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$275.42
Typical High
$549.54
United
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$1,445.44
Typical High
$3,630.78
United
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$144.54
Typical High
$346.74

Where Virginia 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

Virginia· 13th of 51

$1,328

$97.72 physician + $1,230 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.