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Lower Back Spinal Joint Injection, Additional Levels

Hawaii rates for HCPCS 64495

This is an injection of numbing medication or a steroid into small joints of the lower spine, guided by imaging, to help diagnose or relieve back pain coming from those joints. It applies when more than two spinal joint levels are treated with injections during the same session, in addition to the first two.

Rates data updated July 2026.

How much does Lower Back Spinal Joint Injection, Additional Levels cost?

$83.18

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $83.18 for this service. Most negotiated rates run $54.95 to $97.72.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,000 to $2,884Professionalmedian $81 · 10th to 90th $48 to $123
$20$50$100$200$500$1K$2Kfacility $2,884professional $81

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
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$81.28
Typical High
$97.72
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$107.15
Typical High
$141.25
HMSA
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$114.82
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$117.49
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$100.00
Typical High
$131.83
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$70.79
Typical High
$123.03

Where Hawaii sits

The same service costs 2.0 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.

Hawaii· 47th of 51

$83.18

MN $158KY $77.62

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.