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

Washington, DC 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?

$100

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $60.26 to $204.

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 $2,138 · 10th to 90th $60 to $5,888Professionalmedian $98 · 10th to 90th $58 to $151
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $2,138professional $98

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
$60.26
Median
$2,137.96
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$144.54
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$537.03
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$102.33
Typical High
$218.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$134.90
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$549.54
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$112.20
Typical High
$213.80

Where Washington, DC sits

The same service costs 2.1 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $100 · 28th of 51
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.