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Guided Spine Injection, Neck Or Upper Back, First Level

North Carolina 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?

$770

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $770 for this procedure. That total is two separate charges: $269 to the doctor who performs it, and $501 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$269$186 to $501
Facility feeThe hospital or surgery center$501$257 to $1,660

How much rates vary

Facilitymedian $501 · 10th to 90th $148 to $4,266Professionalmedian $269 · 10th to 90th $129 to $646
$100.0$500.0$2.0K$10.0Kfacility $501professional $269

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
$208.93
Median
$933.25
Typical High
$5,248.07
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$380.19
Median
$1,258.93
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$263.03
Typical High
$588.84
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$181.97
Median
$389.05
Typical High
$851.14
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$281.84
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$416.87
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$398.11
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$288.40
Typical High
$549.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$630.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,187.76
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$223.87
Typical High
$457.09
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$32,359.37
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,187.76

Where North Carolina 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 feeNorth Carolina $770 · 46th 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.