Last updated: March 2026
How Much Does Epidural Steroid Injection Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Lumbar Epidural Steroid Injection | $1,000 – $2,500 | $200 – $500 |
| Cervical Epidural Steroid Injection | $1,200 – $3,000 | $250 – $600 |
| Thoracic Epidural Steroid Injection | $1,200 – $3,000 | $250 – $600 |
| Transforaminal Epidural | $1,500 – $3,500 | $300 – $700 |
CPT/ADA Code: 62323
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Medically necessary — covered for documented spine pain; typically limited to 3-4 per year
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
Epidural steroid injections cost $1,000 to $3,000 without insurance per injection, including fluoroscopic guidance.
Most doctors limit epidural steroid injections to 3-4 per year. Insurance may also limit the number of covered injections.
Pain relief typically lasts 1-3 months. Some patients experience longer relief. The injection may be repeated if effective.