Injection of upper or middle spine facet joint using imaging guidance, second level
Medicare pricing data for 9,246 providers across 52 states
This procedure has a 6.9x markup — hospitals charge $680.29 but Medicare allows only $98.21. Uninsured patients may face bills 6.9 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Injection of upper or middle spine facet joint using imaging guidance, second level (HCPCS code 64491) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $98.21, but hospitals typically charge $680.29 — a 6.9x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $98.21, your out-of-pocket cost would be approximately $19.64. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.9x more than what Medicare allows for this procedure. Medicare actually pays $77.83 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $133 | $269 | 8 | 47 | +35.8% |
| Alaska | $128 | $1,825 | 21 | 187 | +29.9% |
| Connecticut | $113 | $731 | 85 | 974 | +15.4% |
| New York | $113 | $756 | 535 | 6,149 | +14.9% |
| Florida | $111 | $577 | 946 | 18,413 | +13.0% |
| Virginia | $109 | $659 | 170 | 4,020 | +11.2% |
| North Carolina | $106 | $576 | 271 | 3,600 | +8.4% |
| Utah | $106 | $414 | 110 | 1,426 | +7.7% |
| Arizona | $105 | $460 | 254 | 5,506 | +7.2% |
| Oklahoma | $105 | $476 | 124 | 2,912 | +7.0% |
| New Jersey | $105 | $3,139 | 332 | 3,036 | +6.8% |
| District of Columbia | $105 | $686 | 17 | 120 | +6.6% |
| Michigan | $103 | $574 | 286 | 2,794 | +5.0% |
| Texas | $100 | $715 | 878 | 12,071 | +1.4% |
| South Carolina | $99 | $563 | 142 | 3,494 | +0.9% |
| Kentucky | $98 | $506 | 120 | 1,896 | +0.1% |
| Delaware | $98 | $929 | 45 | 614 | -0.4% |
| Nevada | $97 | $1,398 | 88 | 1,289 | -0.8% |
| California | $97 | $779 | 786 | 10,284 | -1.0% |
| Alabama | $97 | $358 | 111 | 1,946 | -1.3% |
| Puerto Rico | $96 | $109 | 19 | 101 | -2.3% |
| Colorado | $96 | $592 | 164 | 2,582 | -2.4% |
| New Mexico | $96 | $470 | 59 | 916 | -2.6% |
| Massachusetts | $95 | $730 | 238 | 3,013 | -2.9% |
| Pennsylvania | $95 | $529 | 402 | 4,357 | -2.9% |
| Illinois | $95 | $791 | 316 | 3,628 | -3.6% |
| Rhode Island | $94 | $603 | 17 | 174 | -3.9% |
| Oregon | $91 | $432 | 92 | 1,243 | -6.9% |
| Tennessee | $91 | $469 | 175 | 2,866 | -6.9% |
| Nebraska | $91 | $538 | 57 | 721 | -7.1% |
| Maryland | $89 | $497 | 205 | 2,932 | -9.8% |
| Wyoming | $88 | $610 | 10 | 106 | -10.1% |
| Arkansas | $87 | $456 | 110 | 1,746 | -11.7% |
| Missouri | $87 | $521 | 135 | 1,929 | -11.7% |
| Washington | $86 | $369 | 145 | 1,784 | -12.8% |
| Vermont | $85 | $557 | 14 | 189 | -13.3% |
| Georgia | $85 | $663 | 317 | 4,638 | -13.4% |
| Indiana | $85 | $866 | 191 | 2,280 | -13.6% |
| Ohio | $84 | $360 | 332 | 4,067 | -14.3% |
| Louisiana | $84 | $909 | 153 | 2,181 | -14.3% |
| Iowa | $84 | $596 | 60 | 618 | -14.4% |
| New Hampshire | $83 | $631 | 51 | 631 | -15.8% |
| Minnesota | $80 | $586 | 151 | 1,633 | -18.3% |
| South Dakota | $80 | $357 | 24 | 348 | -19.0% |
| Maine | $79 | $282 | 31 | 266 | -19.1% |
| Kansas | $79 | $496 | 78 | 987 | -19.8% |
| Mississippi | $79 | $483 | 75 | 1,666 | -19.8% |
| Idaho | $78 | $516 | 46 | 515 | -20.1% |
| Montana | $78 | $425 | 27 | 253 | -20.3% |
| Wisconsin | $78 | $1,194 | 160 | 1,623 | -21.0% |
| West Virginia | $73 | $265 | 37 | 539 | -25.6% |
| North Dakota | $73 | $341 | 17 | 185 | -25.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber