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

Delaware 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 October 2026.

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

$87.10

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $120 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$85.11$60.26 to $102
FacilityA hospital or hospital-owned outpatient department$120$91.20 to $708

How much rates vary

Facilitymedian $120 · 10th to 90th $83 to $1,698Professionalmedian $85 · 10th to 90th $54 to $138
$50$100$200$500$1K$2K$5Kfacility $120professional $85

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
$57.54
Median
$95.50
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$85.11
Typical High
$104.71
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$42.66
Median
$51.29
Typical High
$70.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$645.65
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$95.50
Typical High
$131.83
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$114.82
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$79.43
Typical High
$141.25

Where Delaware 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.

Delaware· 44th of 51

$87.10

AK $251KY $69.18

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.