go back

Sacroiliac Joint Nerve Injection with Imaging Guidance

West 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?

$2,208

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

Insurers have agreed to pay about $2,208 for this procedure. That total is two separate charges: $166 to the doctor who performs it, and $2,042 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$166$81.28 to $234
Facility feeThe hospital or surgery center$2,042$200 to $2,042

How much rates vary

Facilitymedian $2,042 · 10th to 90th $74 to $2,042Professionalmedian $166 · 10th to 90th $71 to $240
$100$200$500$1K$2Kfacility $2,042professional $166

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
$74.13
Median
$2,041.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$199.53
Typical High
$239.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$104.71
CareSource
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$223.87
Typical High
$1,174.90
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,230.27
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$141.25
Typical High
$338.84

Where West 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

West Virginia· 20th of 49

$2,208

$166 physician + $2,042 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.