Spinal injections are one of the most effective non-surgical tools in modern spine medicine—providing targeted relief for patients suffering from nerve-related pain, disc herniations, spinal stenosis, and other degenerative conditions. Studies have shown these injections can reduce inflammation, restore function, and help patients avoid or delay more invasive interventions like surgery.
Yet, despite their clinical value, many patients hesitate to proceed—not because the treatment isn't right, but because the pricing isn't clear. Insurance plans vary widely in coverage and out-of-pocket costs, and self-pay rates can fluctuate based on the type of injection and the facility.
This guide breaks down the realities of spine injection costs—comparing insurance coverage and cash pay options—so patients can make informed decisions without confusion or surprise.
Why Spine Injections Are Prescribed
Most commonly used to address conditions involving inflammation, nerve compression, or joint degeneration, spine injections are especially valuable when more conservative approaches like rest, physical therapym and medications haven’t yet provided relief.
At Desert Spine and Sports Physicians, we prescribe spine injections for a range of complex spine-related conditions, including:
The goal of spine injections is not simply to mask symptoms, but to reduce inflammation, relieve nerve irritation, and restore function by allowing improved ability to participate in physical therapy or exercise. In many cases, this approach enables patients to delay or avoid spine surgery altogether.
Types of Spine Injections and Typical Pricing
The type of spine injection right for you depends on your diagnosis and the specific source of your pain. However, below is a breakdown of the most commonly used spine injections, what conditions they typically treat, and their estimated cash pay pricing range:
Epidural Steroid Injections (ESI)
Used to treat: Herniated or bulging discs, spinal stenosis, and radiculopathy.
Typical cash pay cost: $550 per injection
Facet Joint Injections
Used to treat: Facet joint pain, inflammation and arthritis.
Typical cash pay cost: $550 per injection
Medial Branch Blocks / Radiofrequency Ablation (RFA)
Used to treat: Facet joint pain, inflammation and arthritis.
Typical cash pay cost: $550 for medial branch blocks, $750-1250 for radiofrequency ablation
Sacroiliac (SI) Joint Injections
Used to treat: SI joint dysfunction, inflammation, or pain related to degenerative changes
Typical cash pay cost: $350-500 per injection
What Insurance Typically Covers
Most commercial insurance plans cover spine injections when they are deemed medically necessary. In these cases, coverage typically requires documentation of diagnosis, a history of conservative treatment attempts, and pre-authorization. However, even when approved, many plans limit the number of spine injections allowed per year.
Regardless of the insurance plan you have, patients are also still responsible for deductibles, copays, or coinsurance, which can vary significantly depending on the individual plan structure. Understanding your plan’s specific requirements and out-of-pocket costs in advance can help you avoid unexpected bills and better plan your treatment timeline.
When Cash Pay May Be a Better Option
While insurance coverage can reduce the cost of spine injections for some, navigating deductibles, pre-authorizations, and visit limits can still create delays or unexpected expenses. In some cases, paying cash up front may offer more predictability, faster access to care, and fewer administrative hurdles.
For example, it may be better to just pay with cash if:
- Your insurance plan has a high deductible you haven’t yet met
- You’ve already reached your annual limit for spine injections
- You’re waiting on insurance pre-authorization, but need treatment more urgently
- You’re pursuing a regenerative procedure like PRP, which isn’t covered by insurance
- You prefer cost transparency and want to avoid unexpected billing
Choosing the Right Path: Clarity, Coverage, and Care
We know that financial uncertainty can be as stressful as the pain itself. That’s why we’re committed to helping patients make informed decisions, whether they choose to use insurance or pay cash. Our team works with most major insurance plans and will help you navigate coverage requirements, including pre-authorizations and benefit limits.
If you’re unsure whether a spine injection is the right next step—or what it might cost—we encourage you to call and schedule a consultation. Our fellowship-trained physiatrists and pain management specialists will evaluate your condition, discuss your options, and help you move forward with confidence.
December 12, 2025
