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Lower Back Spinal Joint Injection, Additional Levels

Oregon 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?

$115

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $170 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 8 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$105$79.43 to $174
FacilityA hospital or hospital-owned outpatient department$170$126 to $182

How much rates vary

Facilitymedian $170 · 10th to 90th $85 to $1,349Professionalmedian $105 · 10th to 90th $50 to $240
$50$100$200$500$1K$2K$5Kfacility $170professional $105

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
$128.82
Median
$1,000.00
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$87.10
Typical High
$269.15
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$74.13
Median
$128.82
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$131.83
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$239.88
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$114.82
Typical High
$194.98
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$147.91
Typical High
$229.09
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$177.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$114.82
Typical High
$199.53
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$128.82
Typical High
$223.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$4,073.80
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$128.82
Typical High
$218.78
United
Setting
Professional
Modifier
50 · Both sides
Typical Low
$89.13
Median
$89.13
Typical High
$89.13

Where Oregon 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.

Oregon· 7th of 51

$115

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.