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Sacroiliac Joint Nerve Injection with Imaging Guidance

Wyoming 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?

$1,004

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

Insurers have agreed to pay about $1,004 for this procedure. That total is two separate charges: $263 to the doctor who performs it, and $741 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$263$191 to $457
Facility feeThe hospital or surgery center$741$741 to $933

How much rates vary

Facilitymedian $741 · 10th to 90th $562 to $1,148Professionalmedian $263 · 10th to 90th $138 to $741
$100$200$500$1K$2Kfacility $741professional $263

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$239.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$204.17
Typical High
$263.03
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$316.23
Typical High
$741.31
BCBS Wyoming
Setting
Professional
Modifier
50 · Both sides
Typical Low
$245.47
Median
$478.63
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$933.25
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$263.03
Typical High
$478.63
United
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$794.33
Typical High
$3,162.28
United
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$263.03
Typical High
$645.65

Where Wyoming 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

Wyoming· 23rd of 51

$1,004

$263 physician + $741 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.