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Guided Spine Injection, Neck Or Upper Back, First Level

Massachusetts 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?

$1,613

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

Insurers have agreed to pay about $1,613 for this procedure. That total is two separate charges: $295 to the doctor who performs it, and $1,318 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$295$174 to $427
Facility feeThe hospital or surgery center$1,318$195 to $2,399

How much rates vary

Facilitymedian $1,318 · 10th to 90th $151 to $3,715Professionalmedian $295 · 10th to 90th $129 to $741
$100$500$2K$10Kfacility $1,318professional $295

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
$257.04
Median
$1,905.46
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$257.04
Typical High
$741.31
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$1,862.09
Typical High
$32,359.37
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$309.03
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$302.00
Typical High
$660.69
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$165.96
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$512.86
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,511.89
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$309.03
Typical High
$724.44
Health New England
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,548.82
Typical High
$2,818.38
Health New England
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$1,862.09
Typical High
$32,359.37
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$309.03
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,344.23
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$323.59
Typical High
$758.58

Where Massachusetts 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

Massachusetts· 34th of 50

$1,613

$295 physician + $1,318 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.