go back

Guided Spine Injection, Neck Or Upper Back, First Level

Missouri 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?

$2,049

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

Insurers have agreed to pay about $2,049 for this procedure. That total is two separate charges: $229 to the doctor who performs it, and $1,820 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$229$155 to $355
Facility feeThe hospital or surgery center$1,820$759 to $3,715

How much rates vary

Facilitymedian $1,820 · 10th to 90th $245 to $5,012Professionalmedian $229 · 10th to 90th $126 to $933
$50.0$200.0$1.0K$5.0K$20.0Kfacility $1,820professional $229

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
$177.83
Median
$2,290.87
Typical High
$5,370.32
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$245.47
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$173.78
Median
$309.03
Typical High
$2,137.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$154.88
Typical High
$177.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$169.82
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$194.98
Median
$257.04
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$275.42
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$269.15
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$316.23
Typical High
$2,187.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$446.68
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,047.13
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$263.03
Typical High
$478.63

Where Missouri sits

The same service costs 11.3 times more in Connecticut than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeMissouri $2,049 · 25th of 50
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.