CPT 64492

Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 3+ Level

CPT 64492 pays $102.21 in a non-facility setting and $51.10 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $92.08 in Arkansas to $123.72 in Alaska, a 34% spread.

National non-facility rate

$102.21

Office and other outpatient settings

Facility rate
$51.10

Hospital and ASC settings

Highest state
$123.72

Alaska

Lowest state
$92.08

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 $102.21
CPT 64492 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $102.21, national facility $51.10.
StateRate compared visuallyNon-facilityFacility
Alaska
$123.72$69.30
District of Columbia
$115.52$55.32
California
$113.45$52.98
New York
$112.18$55.17
New Jersey
$112.14$54.60
Washington
$111.37$53.11
Massachusetts
$110.40$52.99
Hawaii
$109.36$51.26
Connecticut
$108.33$53.29
Colorado
$105.93$51.56
Maryland
$105.54$52.27
Florida
$105.26$53.98
Oregon
$104.97$51.13
Rhode Island
$104.63$51.84
New Hampshire
$104.35$51.15
Illinois
$103.00$53.62
Puerto Rico
$102.84$51.17
Virgin Islands
$102.84$51.17
Montana
$102.20$51.10
Minnesota
$101.87$49.29
Nevada
$101.77$50.61
Pennsylvania
$101.49$51.44
Wyoming
$101.43$50.32
Delaware
$101.35$50.86
Texas
$101.25$50.94
North Dakota
$100.42$49.32
Virginia
$100.28$50.04
South Dakota
$100.21$49.11
Vermont
$100.11$49.51
Georgia
$100.03$51.27
Arizona
$99.87$50.35
Michigan
$99.68$51.70
Maine
$98.35$49.52
Utah
$98.21$50.18
New Mexico
$97.71$50.85
Wisconsin
$97.55$48.59
Missouri
$97.10$50.20
South Carolina
$97.09$49.87
Louisiana
$97.00$50.34
North Carolina
$97.00$49.32
Ohio
$96.88$50.23
Indiana
$96.18$48.80
Idaho
$95.71$48.69
Nebraska
$95.60$48.44
West Virginia
$95.45$51.04
Tennessee
$95.22$48.77
Iowa
$95.17$48.41
Kentucky
$95.13$49.70
Oklahoma
$94.96$49.33
Kansas
$94.82$48.62
Alabama
$93.22$48.50
Mississippi
$92.88$48.88
Arkansas
$92.08$48.19

Billed by 1 specialties

Commercial rates for 64492

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

See negotiated rates