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Guided Spine Injection, Neck Or Upper Back, First Level

Virginia 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?

$736

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

Insurers have agreed to pay about $736 for this procedure. That total is two separate charges: $234 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$234$148 to $316
Facility feeThe hospital or surgery center$501$191 to $2,570

How much rates vary

Facilitymedian $501 · 10th to 90th $145 to $5,370Professionalmedian $234 · 10th to 90th $126 to $550
$50.0$200.0$1.0K$5.0Kfacility $501professional $234

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
$181.97
Median
$1,949.84
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$239.88
Typical High
$602.56
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$173.78
Median
$380.19
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$186.21
Typical High
$316.23
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$186.21
Median
$275.42
Typical High
$478.63
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$190.55
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$257.04
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$354.81
Typical High
$426.58
Medcost
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$630.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$257.04
Typical High
$467.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Sentara
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$2,691.53
Sentara
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,949.84
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$229.09
Typical High
$489.78

Where Virginia 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 feeVirginia $736 · 47th 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.