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Facet Joint Injection, Neck/Upper Back, Extra Level

Hawaii rates for HCPCS 64491

A provider injects numbing medication, and often a steroid, into or near a small joint that connects two vertebrae in the neck or upper back, using imaging guidance to place the needle precisely. This injection targets an additional spinal level beyond the first one treated in the same visit. It's used to help diagnose or relieve pain believed to be coming from these joints.

Rates data updated October 2026.

How much does Facet Joint Injection, Neck/Upper Back, Extra Level cost?

$120

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $70.79 to $126.

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.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $269 to $2,884Professionalmedian $120 · 10th to 90th $52 to $135
$20$50$100$200$500$1K$2Kfacility $2,818professional $120

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$77.62
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$109.65
Typical High
$141.25
United
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$616.60
Typical High
$1,122.02
United
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$125.89
Typical High
$125.89
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$77.62
Typical High
$134.90

Where Hawaii sits

The same service costs 3.6 times more in Alaska than in Kentucky. 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.

Hawaii· 15th of 51

$120

AK $245KY $67.61

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.