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Guided Spine Injection, Neck Or Upper Back, First Level

West 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?

$3,289

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

Insurers have agreed to pay about $3,289 for this procedure. That total is two separate charges: $269 to the doctor who performs it, and $3,020 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$269$148 to $282
Facility feeThe hospital or surgery center$3,020$2,570 to $7,244

How much rates vary

Facilitymedian $3,020 · 10th to 90th $234 to $8,318Professionalmedian $269 · 10th to 90th $120 to $282
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $3,020professional $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
$234.42
Median
$3,019.95
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$269.15
Typical High
$281.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$165.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$281.84
Typical High
$1,513.56
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,290.87
Typical High
$6,309.57
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,548.82
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$194.98
Typical High
$446.68

Where West 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 feeWest Virginia $3,289 · 10th 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.