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Guided Spine Injection, Neck Or Upper Back, First Level

Maryland 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?

$429

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

Insurers have agreed to pay about $429 for this procedure. That total is two separate charges: $263 to the doctor who performs it, and $166 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$263$148 to $316
Facility feeThe hospital or surgery center$166$126 to $331

How much rates vary

Facilitymedian $166 · 10th to 90th $68 to $977Professionalmedian $263 · 10th to 90th $126 to $851
$100$200$500$1Kfacility $166professional $263

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
$67.61
Median
$165.96
Typical High
$1,000.00
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$602.56
Median
$870.96
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$263.03
Typical High
$851.14
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$173.78
Median
$457.09
Typical High
$524.81
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$141.25
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$245.47
Typical High
$501.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$245.47
Typical High
$489.78
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$436.52

Where Maryland 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

Maryland· 50th of 50

$429

$263 physician + $166 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.