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Guided Spine Injection, Neck Or Upper Back, First Level

Montana 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?

$655

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

Insurers have agreed to pay about $655 for this procedure. That total is two separate charges: $257 to the doctor who performs it, and $398 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$257$186 to $389
Facility feeThe hospital or surgery center$398$224 to $468

How much rates vary

Facilitymedian $398 · 10th to 90th $224 to $2,512Professionalmedian $257 · 10th to 90th $120 to $1,122
$100$500$2K$10K$50Kfacility $398professional $257

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
$1,584.89
Median
$2,511.89
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$257.04
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$173.78
Median
$524.81
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$416.87
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$416.87
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$389.05
Typical High
$478.63
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$389.05
Typical High
$478.63
Providence
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$302.00
Typical High
$489.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$251.19
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$467.74

Where Montana 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

Montana· 48th of 50

$655

$257 physician + $398 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.