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Guided Spine Injection, Neck Or Upper Back, First Level

Michigan 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?

$2,018

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

Insurers have agreed to pay about $2,018 for this procedure. That total is two separate charges: $240 to the doctor who performs it, and $1,778 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$240$151 to $295
Facility feeThe hospital or surgery center$1,778$331 to $2,042

How much rates vary

Facilitymedian $1,778 · 10th to 90th $170 to $4,898Professionalmedian $240 · 10th to 90th $115 to $355
$50$100$200$500$1K$2K$5Kfacility $1,778professional $240

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
$169.82
Median
$1,778.28
Typical High
$4,897.79
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$489.78
Median
$489.78
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$234.42
Typical High
$354.81
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$389.05
Median
$562.34
Typical High
$562.34
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$269.15
Typical High
$269.15
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$288.40
Median
$389.05
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$218.78
Typical High
$407.38
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$426.58
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$269.15
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,621.81
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$229.09
Typical High
$371.54

Where Michigan 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

Michigan· 26th of 50

$2,018

$240 physician + $1,778 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.