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Guided Spine Injection, Neck Or Upper Back, First Level

Iowa 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?

$2,514

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

Insurers have agreed to pay about $2,514 for this procedure. That total is two separate charges: $275 to the doctor who performs it, and $2,239 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$275$182 to $575
Facility feeThe hospital or surgery center$2,239$575 to $3,802

How much rates vary

Facilitymedian $2,239 · 10th to 90th $309 to $6,761Professionalmedian $275 · 10th to 90th $126 to $851
$200$500$1K$2K$5K$10Kfacility $2,239professional $275

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
$380.19
Median
$2,570.40
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$245.47
Typical High
$977.24
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$288.40
Median
$1,122.02
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$380.19
Typical High
$794.33
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$309.03
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$575.44
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$501.19
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$562.34
Typical High
$691.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$457.09
Typical High
$691.83
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$269.15
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,238.72
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$295.12
Typical High
$660.69
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$446.68
Typical High
$630.96

Where Iowa 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

Iowa· 18th of 50

$2,514

$275 physician + $2,239 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.