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Guided Spine Injection, Neck Or Upper Back, First Level

Nevada 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?

$1,938

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

Insurers have agreed to pay about $1,938 for this procedure. That total is two separate charges: $240 to the doctor who performs it, and $1,698 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$240$132 to $363
Facility feeThe hospital or surgery center$1,698$427 to $3,236

How much rates vary

Facilitymedian $1,698 · 10th to 90th $129 to $4,365Professionalmedian $240 · 10th to 90th $120 to $794
$10.0$100.0$1.0K$10.0Kfacility $1,698professional $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
$128.82
Median
$1,698.24
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$257.04
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$173.78
Median
$288.40
Typical High
$524.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$125.89
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$158.49
Median
$162.18
Typical High
$398.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,467.37
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$165.96
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$144.54
Median
$218.78
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$251.19
Typical High
$467.74
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$194.98
Typical High
$436.52
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$426.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$257.04
Typical High
$281.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$257.04
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,513.56
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$245.47
Typical High
$457.09

Where Nevada 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 feeNevada $1,938 · 27th 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.