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Procedure for Sacroiliac Joint; Arthrography Injection

Utah rates for HCPCS G0259

Injection procedure for sacroiliac joint; arthrography

Rates data updated July 2026.

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

$126

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $3,162 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 6 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$126$45.71 to $126
FacilityA hospital or hospital-owned outpatient department$3,162$661 to $4,169

How much rates vary

Facilitymedian $3,162 · 10th to 90th $46 to $4,571Professionalmedian $126 · 10th to 90th $46 to $126
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $3,162professional $126

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
$45.71
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$165.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61

Where Utah sits

The same service costs 64.6 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Utah $126 · 31st of 51
CA $3,236WV $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.