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Additional-Level Spine Joint Injection (Neck/Upper Back)

Alabama rates for HCPCS 64492

An add-on service for injecting medication into another small joint along the spine in the neck or upper back region, beyond the joints already treated during the same visit. It typically delivers medication near the nerves supplying these joints, guided by X-ray or CT imaging to ensure accurate placement, and is used to help diagnose or relieve pain coming from those joints.

Rates data updated July 2026.

How much does Additional-Level Spine Joint Injection (Neck/Upper Back) cost?

$95.50

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $1,122 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$89.13$58.88 to $123
FacilityA hospital or hospital-owned outpatient department$1,122$575 to $1,445

How much rates vary

Facilitymedian $1,122 · 10th to 90th $204 to $1,738Professionalmedian $89 · 10th to 90th $54 to $174
$50$100$200$500$1K$2Kfacility $1,122professional $89

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
$151.36
Median
$776.25
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$93.33
Typical High
$177.83
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$177.83
Median
$186.21
Typical High
$302.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$165.96
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$102.33
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$109.65
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$758.58
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$81.28
Typical High
$169.82

Where Alabama sits

The same service costs 2.1 times more in Minnesota 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.

Alabama· 37th of 51

$95.50

MN $178KY $85.11

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.