go back

Facet Joint Injection, Neck/Upper Back, Extra Level

Vermont 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 July 2026.

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

$110

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $110 for this service. Most negotiated rates run $69.18 to $115.

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 $1,905 · 10th to 90th $1,905 to $2,042Professionalmedian $110 · 10th to 90th $68 to $126
$100$200$500$1K$2Kfacility $1,905professional $110

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$114.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$181.97
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$125.89
Typical High
$218.78

Where Vermont sits

The same service costs 2.6 times more in Wyoming than in Hawaii. 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.

Vermont· 20th of 51

$110

WY $229HI $87.10

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.