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Guided Spine Injection, Neck Or Upper Back, First Level

Alabama rates for HCPCS 64479

Numbing medicine and/or an anti-inflammatory steroid is injected near a nerve root as it exits the spine in the neck or upper back, using real-time imaging to guide the needle precisely. This covers treatment of the first spinal level; treating additional levels in the same visit is billed separately.

Rates data updated July 2026.

How much does Guided Spine Injection, Neck Or Upper Back, First Level cost?

$1,478

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

Insurers have agreed to pay about $1,478 for this procedure. That total is two separate charges: $219 to the doctor who performs it, and $1,259 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$219$132 to $324
Facility feeThe hospital or surgery center$1,259$794 to $1,585

How much rates vary

Facilitymedian $1,259 · 10th to 90th $407 to $2,399Professionalmedian $219 · 10th to 90th $112 to $407
$100$200$500$1K$2Kfacility $1,259professional $219

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
$204.17
Median
$891.25
Typical High
$2,398.83
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$660.69
Median
$831.76
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$218.78
Typical High
$407.38
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$346.74
Median
$398.11
Typical High
$416.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$1,905.46
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,778.28
Median
$2,137.96
Typical High
$2,818.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$263.03
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$234.42
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,174.90
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$204.17
Typical High
$416.87

Where Alabama sits

The same service costs 11.3 times more in Connecticut 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

Alabama· 37th of 50

$1,478

$219 physician + $1,259 facility

CT $4,828MD $429

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.