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Procedure for Sacroiliac Joint; Arthrography Injection

Michigan rates for HCPCS G0259

Injection procedure for sacroiliac joint; arthrography

Rates data updated October 2026.

How much does Procedure for Sacroiliac Joint; Arthrography Injection cost?

$95.50

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $186 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$89.13$45.71 to $126
FacilityA hospital or hospital-owned outpatient department$186$138 to $302

How much rates vary

Facilitymedian $186 · 10th to 90th $126 to $708Professionalmedian $89 · 10th to 90th $15 to $257
$20$100$500$2Kfacility $186professional $89

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$2,041.74
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$63.10
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$95.50
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.05
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.59
Median
$25.70
Typical High
$25.70
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$173.78
Typical High
$426.58
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$89.13
Typical High
$131.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$2,041.74
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$77.62
Typical High
$125.89
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$22.91
Median
$63.10
Typical High
$63.10
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.12
Median
$25.70
Typical High
$25.70
Health Alliance Plan
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$34.67
Median
$95.50
Typical High
$95.50
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.92
Median
$19.05
Typical High
$19.05
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.57
Median
$12.59
Typical High
$12.59
Priority Health
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$177.83
Typical High
$1,258.93

Where Michigan sits

The same service costs 16.6 times more in California than in Texas. 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.

Michigan· 36th of 51

$95.50

CA $832TX $50.12

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.