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Michigan rates for HCPCS G0259

Injection procedure for sacroiliac joint; arthrography

Facilitymedian $2,042 · 10th–90th $126–$4,8980%20%10th90th$2,042Professionalmedian $126 · 10th–90th $45–$1320%20%40%10th90th$126$20.0$100.0$500.0$2.0K

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
$125.89 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $125.89 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $131.83 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $91.20 / $125.89
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $1,258.93 / $2,454.71