Price AtlasInteractive atlas · All states · techysurgeon.comNeck facet joint injection: what insurers pay
An injection into a small joint of the neck or upper back with imaging guidance, one level. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 64490: Neck Facet Joint Injection
1342 hospitals in 79 markets. National Medicare rate $904, surgery center $486.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 18 | $973 | $1,206 | $1,488 | $477–$3,702 |
| Alaska (statewide) | 3 | — | — | — | $1,106–$4,590 |
| Arizona (statewide) | 9 | $1,159 | $1,812 | $2,273 | $613–$3,079 |
| Arkansas (statewide) | 11 | $1,164 | $1,264 | $1,321 | $931–$2,768 |
| Atlanta GA | 10 | $2,906 | $3,036 | $3,320 | $2,906–$3,320 |
| Austin TX | 13 | $863 | $1,868 | $2,258 | $863–$2,614 |
| Boston MA | 14 | $1,100 | $1,368 | $1,489 | $765–$2,291 |
| California (statewide) | 66 | $1,596 | $2,627 | $3,369 | $1,014–$7,068 |
| Charlotte NC | 5 | $1,058 | $1,058 | $1,058 | $1,044–$1,058 |
| Chicago IL | 10 | $1,540 | $2,406 | $3,430 | $1,017–$4,016 |
| Cleveland OH | 11 | $1,840 | $2,276 | $2,386 | $1,674–$2,458 |
| Colorado (statewide) | 19 | $1,094 | $1,808 | $2,448 | $485–$3,702 |
| Connecticut (statewide) | 3 | — | — | — | $1,143–$4,223 |
| Dallas-Fort Worth TX | 14 | $2,190 | $2,266 | $2,370 | $1,968–$3,746 |
| Denver CO | 15 | $1,660 | $2,368 | $2,806 | $1,083–$3,702 |
| Detroit MI | 11 | $1,304 | $1,533 | $2,007 | $569–$3,791 |
| Florida (statewide) | 70 | $1,746 | $2,042 | $2,350 | $514–$4,138 |
| Georgia (statewide) | 44 | $2,046 | $2,670 | $3,030 | $808–$4,170 |
| Hawaii (statewide) | 6 | $1,526 | $1,802 | $2,591 | $1,097–$3,118 |
| Houston TX | 19 | $1,688 | $2,128 | $2,222 | $1,420–$3,554 |
| Idaho (statewide) | 16 | $972 | $1,128 | $1,778 | $513–$3,428 |
| Illinois (statewide) | 36 | $1,272 | $1,672 | $2,291 | $726–$3,811 |
| Indiana (statewide) | 36 | $1,402 | $1,846 | $3,163 | $890–$5,496 |
| Indianapolis IN | 1 | — | — | — | $3,679–$3,679 |
| Iowa (statewide) | 38 | $912 | $1,407 | $1,723 | $747–$2,684 |
| Kansas (statewide) | 43 | $762 | $1,063 | $1,929 | $447–$4,620 |
| Kentucky (statewide) | 17 | $1,233 | $1,557 | $1,841 | $1,085–$2,436 |
| Las Vegas NV | 1 | — | — | — | $1,588–$1,588 |
| Los Angeles CA | 17 | $2,560 | $2,680 | $3,023 | $1,628–$6,417 |
| Louisiana (statewide) | 23 | $881 | $1,022 | $1,228 | $666–$3,139 |
| Maine (statewide) | 17 | $3,648 | $4,096 | $4,235 | $873–$5,325 |
| Massachusetts (statewide) | 8 | $875 | $1,088 | $1,310 | $875–$1,504 |
| Miami-Fort Lauderdale FL | 5 | $1,206 | $1,328 | $2,165 | $506–$3,017 |
| Michigan (statewide) | 28 | $1,206 | $1,481 | $1,622 | $494–$2,171 |
| Minneapolis-St. Paul MN | 13 | $1,892 | $1,959 | $2,275 | $1,455–$2,511 |
| Minnesota (statewide) | 20 | $1,309 | $1,986 | $2,573 | $750–$4,028 |
| Mississippi (statewide) | 18 | $924 | $1,132 | $1,386 | $795–$2,663 |
| Missouri (statewide) | 32 | $1,124 | $1,852 | $2,919 | $452–$6,897 |
| Montana (statewide) | 5 | $1,855 | $1,870 | $2,530 | $672–$2,781 |
| Nashville TN | 8 | $1,409 | $1,964 | $2,172 | $1,194–$2,212 |
| Nebraska (statewide) | 17 | $1,680 | $1,966 | $2,076 | $791–$3,168 |
| Nevada (statewide) | 3 | — | — | — | $1,432–$2,305 |
| New Hampshire (statewide) | 6 | $3,154 | $3,582 | $3,704 | $1,983–$3,961 |
| New Jersey (statewide) | 21 | $1,048 | $1,703 | $3,256 | $973–$6,872 |
| New Mexico (statewide) | 4 | — | — | — | $1,743–$2,824 |
| New York (statewide) | 34 | $1,907 | $2,247 | $2,639 | $603–$5,417 |
| New York City | 8 | $2,244 | $2,249 | $3,830 | $976–$4,100 |
| North Carolina (statewide) | 6 | $859 | $1,238 | $2,151 | $833–$2,345 |
| North Dakota (statewide) | 9 | $1,438 | $2,000 | $2,286 | $550–$3,324 |
| Ohio (statewide) | 44 | $1,844 | $2,222 | $3,021 | $567–$4,300 |
| Oklahoma (statewide) | 18 | $1,308 | $1,807 | $1,944 | $793–$4,193 |
| Oregon (statewide) | 10 | $2,059 | $2,440 | $3,224 | $989–$4,152 |
| Pennsylvania (statewide) | 46 | $1,300 | $2,114 | $2,710 | $686–$3,911 |
| Philadelphia PA | 11 | $2,288 | $2,328 | $4,010 | $1,978–$6,872 |
| Phoenix AZ | 8 | $1,902 | $1,998 | $2,064 | $1,812–$2,064 |
| Pittsburgh PA | 11 | $947 | $1,274 | $1,835 | $860–$2,241 |
| Portland OR | 9 | $3,517 | $3,802 | $3,802 | $3,517–$4,114 |
| Research Triangle NC | 4 | — | — | — | $1,350–$2,912 |
| Rhode Island (statewide) | 5 | $1,188 | $1,770 | $2,445 | $845–$2,714 |
| Richmond VA | 3 | — | — | — | $2,772–$3,138 |
| Rio Grande Valley TX | 7 | $1,172 | $1,330 | $2,578 | $1,149–$4,232 |
| Salt Lake City UT | 9 | $746 | $746 | $746 | $740–$753 |
| San Antonio TX | 3 | — | — | — | $1,379–$2,012 |
| San Diego CA | 6 | $1,991 | $1,991 | $1,991 | $1,959–$2,098 |
| San Francisco Bay Area CA | 6 | $2,203 | $3,450 | $4,452 | $1,924–$8,967 |
| Seattle-Tacoma WA | 16 | $2,730 | $2,839 | $3,050 | $2,344–$3,257 |
| South Carolina (statewide) | 30 | $1,662 | $2,230 | $3,097 | $949–$4,604 |
| South Dakota (statewide) | 4 | — | — | — | $1,413–$2,590 |
| St. Louis MO | 8 | $1,216 | $3,373 | $5,685 | $1,140–$5,685 |
| Tampa FL | 6 | $2,237 | $2,237 | $2,237 | $1,457–$4,633 |
| Tennessee (statewide) | 33 | $1,153 | $1,176 | $1,463 | $802–$2,272 |
| Texas (statewide) | 75 | $1,520 | $2,128 | $2,380 | $616–$5,496 |
| Utah (statewide) | 6 | $719 | $788 | $830 | $710–$898 |
| Vermont (statewide) | 2 | — | — | — | $868–$1,641 |
| Virginia (statewide) | 21 | $1,816 | $3,219 | $3,408 | $1,009–$4,559 |
| Washington (statewide) | 15 | $2,357 | $2,476 | $3,054 | $930–$4,750 |
| Washington DC | 10 | $2,153 | $2,360 | $2,379 | $1,678–$2,644 |
| West Virginia (statewide) | 9 | $1,222 | $1,477 | $1,596 | $840–$3,604 |
| Wisconsin (statewide) | 46 | $1,661 | $2,052 | $3,280 | $693–$5,220 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Clara Barton Hospital | Kansas (statewide) | $447 | 0.6× | 1 | 2026-09-26 |
| Lindsborg Community Hospital | Kansas (statewide) | $447 | 0.6× | 1 | 2026-08-13 |
| Smith County Memorial Hospital | Kansas (statewide) | $447 | 0.6× | 1 | 2026-08-04 |
| Ste Genevieve County Memorial Hospital | Missouri (statewide) | $452 | 0.5× | 1 | 2026-05-19 |
| Salina Regional Health Center | Kansas (statewide) | $472 | 0.6× | 1 | 2026-08-14 |
| Usa Health University Hospital | Alabama (statewide) | $477 | 0.6× | 1 | 2026-04-30 |
| Mt San Rafael Hospital | Colorado (statewide) | $485 | 0.5× | 3 | 2026-07-23 |
| Oaklawn Hospital | Michigan (statewide) | $494 | 0.6× | 2 | 2026-03-27 |
| Doctors Hospital | Miami-Fort Lauderdale FL | $506 | 0.6× | 5 | 2026-03-30 |
| Ottawa County Health Center | Kansas (statewide) | $509 | 0.6× | 1 | 2026-08-05 |
| Stanton County Hospital | Kansas (statewide) | $509 | 0.6× | 1 | 2026-09-18 |
| North Canyon Medical Center | Idaho (statewide) | $513 | 0.6× | 8 | 2026-04-13 |
| Missouri Baptist Medical Center | St. Louis MO | $5,685 | 6.4× | 5 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $5,685 | 6.4× | 5 | 2025-12-15 |
| Providence St Joseph Hospital | California (statewide) | $5,981 | 5.3× | 4 | 2026-04-01 |
| Providence Redwood Memorial Hospital | California (statewide) | $6,127 | 5.4× | 3 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $6,185 | 6.2× | 3 | 2026-09-15 |
| Cedars-Sinai Medical Center | Los Angeles CA | $6,417 | 5.6× | 1 | 2025-11-26 |
| Providence Queen Of The Valley Medical Center | California (statewide) | $6,812 | 6.0× | 5 | 2026-04-01 |
| Inspira Medical Center Vineland | New Jersey (statewide) | $6,872 | 6.9× | 1 | 2026-03-24 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $6,872 | 6.9× | 1 | 2026-03-24 |
| Boone Hospital Center | Missouri (statewide) | $6,897 | 7.8× | 1 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $7,068 | 6.2× | 4 | 2026-09-01 |
| Stanford Health Care | San Francisco Bay Area CA | $8,967 | 6.9× | 2 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for neck facet joint injection?
Across 1342 hospitals in 79 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 64490, hospital outpatient is $1,977, 2.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,256 to $2,663. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for neck facet joint injection?
Medicare's national hospital outpatient rate for CPT 64490 is $904 and its surgery-center rate is $486, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for neck facet joint injection?
Lowest medians: Clara Barton Hospital ($447), Lindsborg Community Hospital ($447), Smith County Memorial Hospital ($447). Highest: Stanford Health Care ($8,967), Los Robles Hospital & Medical Center ($7,068), Boone Hospital Center ($6,897). Coverage: every hospital whose price file we could read.