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Procedure for Sacroiliac Joint; Arthrography Injection

Utah 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?

$52.48

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $1,023 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$50.12$45.71 to $126
FacilityA hospital or hospital-owned outpatient department$1,023$126 to $4,169

How much rates vary

Facilitymedian $1,023 · 10th to 90th $46 to $4,571Professionalmedian $50 · 10th to 90th $45 to $126
$50$100$200$500$1K$2K$5Kfacility $1,023professional $50

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
$45.71
Median
$2,951.21
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$22.91
Median
$22.91
Typical High
$63.10
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.12
Median
$9.12
Typical High
$25.70
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$34.67
Median
$34.67
Typical High
$95.50
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.92
Median
$6.92
Typical High
$19.05
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.57
Median
$4.57
Typical High
$12.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$44.67
Typical High
$162.18
Select Health
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$6,309.57
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$173.78
Typical High
$257.04
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$1,023.29
Typical High
$4,466.84

Where Utah 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.

Utah· 41st of 51

$52.48

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.