CPT 64491

Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 2nd Level

CPT 64491 pays $101.87 in a non-facility setting and $50.77 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $91.57 in Arkansas to $123.02 in Alaska, a 34% spread.

National non-facility rate

$101.87

Office and other outpatient settings

Facility rate
$50.77

Hospital and ASC settings

Highest state
$123.02

Alaska

Lowest state
$91.57

Arkansas · 34% 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 $101.87
CPT 64491 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $101.87, national facility $50.77.
StateRate compared visuallyNon-facilityFacility
Alaska
$123.02$68.60
District of Columbia
$115.09$54.89
California
$112.62$52.15
New York
$111.97$54.96
New Jersey
$111.74$54.19
Washington
$110.75$52.49
Massachusetts
$109.84$52.43
Hawaii
$108.61$50.50
Connecticut
$108.05$53.02
Florida
$105.55$54.28
Colorado
$105.39$51.02
Maryland
$105.22$51.94
Oregon
$104.39$50.56
Rhode Island
$104.19$51.40
New Hampshire
$103.89$50.69
Illinois
$103.31$53.93
Puerto Rico
$102.48$50.82
Virgin Islands
$102.48$50.82
Montana
$101.87$50.76
Nevada
$101.32$50.17
Pennsylvania
$101.23$51.17
Minnesota
$101.04$48.45
Delaware
$100.96$50.47
Wyoming
$100.92$49.81
Texas
$100.88$50.57
Georgia
$99.87$51.12
Virginia
$99.76$49.53
North Dakota
$99.69$48.59
Michigan
$99.68$51.70
Arizona
$99.47$49.95
Vermont
$99.45$48.86
South Dakota
$99.43$48.33
Utah
$97.87$49.83
Maine
$97.81$48.98
New Mexico
$97.59$50.73
Missouri
$96.84$49.94
Louisiana
$96.79$50.13
Wisconsin
$96.79$47.83
South Carolina
$96.73$49.51
Ohio
$96.64$49.99
North Carolina
$96.50$48.82
Indiana
$95.57$48.20
West Virginia
$95.54$51.13
Idaho
$95.10$48.08
Nebraska
$94.93$47.76
Kentucky
$94.85$49.42
Tennessee
$94.67$48.22
Oklahoma
$94.58$48.95
Iowa
$94.52$47.76
Kansas
$94.25$48.05
Alabama
$92.72$48.01
Mississippi
$92.51$48.51
Arkansas
$91.57$47.67

Billed by 1 specialties

Commercial rates for 64491

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

See negotiated rates