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Guided Spine Injection, Neck Or Upper Back, First Level

Hawaii 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?

$1,023

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $1,023 for this service. Most negotiated rates run $240 to $2,570.

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 $2,884 · 10th to 90th $871 to $2,884Professionalmedian $1,000 · 10th to 90th $126 to $3,715
$50$100$200$500$1K$2K$5Kfacility $2,884professional $1,000

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
$870.96
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$186.21
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$309.03
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$338.84
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$302.00
Typical High
$407.38
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$1,412.54
Typical High
$3,981.07

Where Hawaii 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.

Hawaii· 1st of 51

$1,023

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.