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Guided Spine Injection, Neck Or Upper Back, First Level

South 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?

$1,673

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

Insurers have agreed to pay about $1,673 for this procedure. That total is two separate charges: $324 to the doctor who performs it, and $1,349 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$324$182 to $794
Facility feeThe hospital or surgery center$1,349$617 to $1,820

How much rates vary

Facilitymedian $1,349 · 10th to 90th $224 to $2,692Professionalmedian $324 · 10th to 90th $126 to $1,259
$100$200$500$1K$2Kfacility $1,349professional $324

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
$1,348.96
Median
$1,819.70
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$309.03
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Avera
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$446.68
Typical High
$794.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$346.74
Typical High
$616.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$501.19
Typical High
$1,995.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$309.03
Typical High
$562.34
Midlands
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$295.12
Typical High
$524.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$309.03
Typical High
$660.69
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$281.84
Typical High
$691.83

Where South 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

South Dakota· 31st of 50

$1,673

$324 physician + $1,349 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.