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Guided Spine Injection, Neck Or Upper Back, First Level

Washington, DC 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?

$282

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $282 for this service. Most negotiated rates run $132 to $380.

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.

How much rates vary

Facilitymedian $2,138 · 10th to 90th $129 to $7,762Professionalmedian $234 · 10th to 90th $126 to $380
$200$500$1K$2K$5Kfacility $2,138professional $234

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
$128.82
Median
$2,137.96
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$346.74
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$1,202.26
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$281.84
Typical High
$616.60
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$323.59
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,089.30
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$263.03
Typical High
$676.08

Where Washington, DC sits

The same service costs 4.7 times more in Hawaii than in Kentucky. 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.

Washington, DC· 21st of 51

$282

HI $1,023KY $219

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.