CPT 64490

Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 1 Level

CPT 64490 pays $205.08 in a non-facility setting and $94.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $182.55 in Arkansas to $241.21 in Alaska, a 32% spread.

National non-facility rate

$205.08

Office and other outpatient settings

Facility rate
$94.19

Hospital and ASC settings

Highest state
$241.21

Alaska

Lowest state
$182.55

Arkansas · 32% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $205.08
CPT 64490 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $205.08, national facility $94.19.
StateRate compared visuallyNon-facilityFacility
Alaska
$241.21$123.11
District of Columbia
$233.89$103.26
California
$230.31$99.10
New Jersey
$226.27$101.41
New York
$226.14$102.43
Washington
$225.39$98.97
Massachusetts
$223.20$98.62
Hawaii
$221.91$95.83
Connecticut
$218.26$98.83
Colorado
$213.53$95.54
Maryland
$212.25$96.65
Oregon
$211.49$94.67
Florida
$210.92$99.66
Rhode Island
$210.22$95.67
New Hampshire
$210.12$94.69
Puerto Rico
$206.54$94.43
Virgin Islands
$206.54$94.43
Illinois
$205.73$98.58
Minnesota
$205.15$91.05
Montana
$205.07$94.18
Nevada
$204.27$93.27
Wyoming
$203.61$92.71
Pennsylvania
$203.13$94.51
Delaware
$203.12$93.56
Texas
$202.83$93.66
North Dakota
$201.71$90.82
South Dakota
$201.31$90.42
Virginia
$201.03$92.02
Vermont
$200.87$91.09
Arizona
$199.92$92.46
Georgia
$199.83$94.04
Michigan
$198.84$94.71
Maine
$196.72$90.76
Utah
$196.09$91.85
Wisconsin
$195.26$89.03
New Mexico
$194.58$92.89
North Carolina
$193.63$90.17
South Carolina
$193.57$91.10
Missouri
$193.44$91.68
Louisiana
$193.14$91.90
Ohio
$192.92$91.68
Indiana
$191.92$89.13
Idaho
$190.87$88.85
Nebraska
$190.75$88.40
Iowa
$189.73$88.27
Tennessee
$189.69$88.89
West Virginia
$189.15$92.79
Kentucky
$189.03$90.45
Kansas
$188.80$88.55
Oklahoma
$188.80$89.78
Alabama
$185.08$88.05
Mississippi
$184.10$88.62
Arkansas
$182.55$87.29

Billed by 1 specialties

Commercial rates for 64490

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates