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Nationwide rates for HCPCS 64561

Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed

Facilitymedian $4,786 · 10th–90th $692–$15,8490%5%10%10th90th$4,786Professionalmedian $741 · 10th–90th $302–$1,9500%10%10th90th$741$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $4,073.80 / $11,748.98
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,818.38 / $7,244.36 / $15,488.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $691.83 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$512.86 / $1,071.52 / $3,090.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $7,079.46 / $28,840.32
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $575.44 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$489.78 / $831.76 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $3,090.30 / $14,791.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $812.83 / $1,905.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $8,511.38 / $23,988.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $691.83 / $1,621.81

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