go back

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 July 2026.

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

$490

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

Insurers have agreed to pay about $490 for this procedure. That total is two separate charges: $174 to the doctor who performs it, and $316 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$174$89.13 to $240
Facility feeThe hospital or surgery center$316$112 to $2,951

How much rates vary

Facilitymedian $316 · 10th to 90th $89 to $5,888Professionalmedian $174 · 10th to 90th $78 to $372
$100$200$500$1K$2K$5K$10Kfacility $316professional $174

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
$97.72
Median
$1,949.84
Typical High
$7,079.46
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$199.53
Typical High
$363.08
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$295.12
Median
$295.12
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$114.82
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$117.49
Median
$173.78
Typical High
$302.00
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$190.55
Typical High
$371.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$354.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$194.98
Typical High
$363.08
Medcost
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Sentara
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$107.15
Typical High
$2,691.53
Sentara
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,949.84
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$162.18
Typical High
$371.54

Where Virginia 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

Virginia· 46th of 49

$490

$174 physician + $316 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.