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Procedure for Sacroiliac Joint; Arthrography Injection

New Hampshire 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?

$204

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $537 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$50.12 to $204
FacilityA hospital or hospital-owned outpatient department$537$501 to $724

How much rates vary

Facilitymedian $537 · 10th to 90th $324 to $3,388Professionalmedian $126 · 10th to 90th $46 to $204
$50$200$1K$5Kfacility $537professional $126

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$2,398.83
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$87.10
Typical High
$125.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$22.91
Median
$43.65
Typical High
$63.10
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.12
Median
$17.38
Typical High
$25.70
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$34.67
Median
$66.07
Typical High
$95.50
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.92
Median
$13.18
Typical High
$19.05
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.57
Median
$8.71
Typical High
$12.59
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$524.81
Typical High
$2,344.23
United
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$524.81
Typical High
$2,344.23

Where New Hampshire 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.

New Hampshire· 15th of 51

$204

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.