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Guided Spine Injection, Neck Or Upper Back, First Level

North Dakota 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?

$558

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

Insurers have agreed to pay about $558 for this procedure. That total is two separate charges: $288 to the doctor who performs it, and $269 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$288$240 to $513
Facility feeThe hospital or surgery center$269$141 to $1,820

How much rates vary

Facilitymedian $269 · 10th to 90th $132 to $1,995Professionalmedian $288 · 10th to 90th $132 to $692
$200$500$1K$2K$5Kfacility $269professional $288

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
$131.83
Median
$269.15
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$257.04
Typical High
$724.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$645.65
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$380.19
Median
$549.54
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$398.11
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$288.40
Typical High
$1,318.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$446.68
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,819.70
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$295.12
Typical High
$588.84

Where North Dakota 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

North Dakota· 49th of 50

$558

$288 physician + $269 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.