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Lumbar Facet Joint Injection, Single Level

Washington, DC rates for HCPCS 64493

Guided by live X-ray or CT imaging, a physician injects an anesthetic and/or steroid medication near a small joint in the lower spine called a facet joint, which helps stabilize the vertebrae and can be a source of back pain. This version treats a single spinal level, either in the lower back or where the spine meets the pelvis. It is used both to help diagnose the source of back pain and, when steroid is included, to reduce inflammation and pain.

Rates data updated July 2026.

How much does Lumbar Facet Joint Injection, Single Level cost?

$186

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

Insurers have agreed to pay about $186 for this service. Most negotiated rates run $100 to $631.

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 $91 to $6,310Professionalmedian $186 · 10th to 90th $91 to $617
$100$200$500$1K$2K$5Kfacility $2,138professional $186

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
$91.20
Median
$2,137.96
Typical High
$7,762.47
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$954.99
Median
$2,884.03
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$173.78
Typical High
$436.52
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$30.20
Median
$323.59
Typical High
$660.69
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$1,202.26
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$173.78
Typical High
$398.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$218.78
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,089.30
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$199.53
Typical High
$501.19

Where Washington, DC sits

The same service costs 2.3 times more in Wyoming 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.

Washington, DC· 28th of 51

$186

WY $347KY $151

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.