CPT 64494

Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 2nd Level

CPT 64494 pays $95.86 in a non-facility setting and $43.76 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $86.04 in Arkansas to $114.96 in Alaska, a 34% spread.

National non-facility rate

$95.86

Office and other outpatient settings

Facility rate
$43.76

Hospital and ASC settings

Highest state
$114.96

Alaska

Lowest state
$86.04

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 $95.86
CPT 64494 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $95.86, national facility $43.76.
StateRate compared visuallyNon-facilityFacility
Alaska
$114.96$59.46
District of Columbia
$108.69$47.31
California
$106.89$45.24
New Jersey
$105.38$46.71
New York
$105.36$47.23
Washington
$104.79$45.39
Massachusetts
$103.84$45.30
Hawaii
$103.02$43.77
Connecticut
$101.73$45.61
Colorado
$99.54$44.10
Maryland
$99.06$44.74
Oregon
$98.62$43.72
Florida
$98.59$46.31
Rhode Island
$98.19$44.36
New Hampshire
$98.01$43.76
Puerto Rico
$96.49$43.81
Virgin Islands
$96.49$43.81
Illinois
$96.37$46.02
Montana
$95.86$43.75
Minnesota
$95.73$42.12
Nevada
$95.47$43.32
Wyoming
$95.17$43.06
Pennsylvania
$95.10$44.06
Delaware
$95.03$43.55
Texas
$94.91$43.62
North Dakota
$94.27$42.17
South Dakota
$94.09$41.98
Virginia
$94.05$42.83
Vermont
$93.94$42.35
Georgia
$93.65$43.95
Arizona
$93.60$43.11
Michigan
$93.26$44.33
Maine
$92.17$42.39
Utah
$91.96$42.98
Wisconsin
$91.47$41.56
New Mexico
$91.38$43.60
South Carolina
$90.87$42.72
North Carolina
$90.85$42.23
Missouri
$90.84$43.03
Louisiana
$90.73$43.15
Ohio
$90.62$43.05
Indiana
$90.07$41.77
Idaho
$89.62$41.68
Nebraska
$89.54$41.45
Tennessee
$89.12$41.76
Iowa
$89.11$41.43
West Virginia
$89.09$43.81
Kentucky
$88.92$42.60
Oklahoma
$88.80$42.27
Kansas
$88.73$41.63
Alabama
$87.14$41.55
Mississippi
$86.76$41.90
Arkansas
$86.04$41.28

Billed by 1 specialties

Commercial rates for 64494

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

See negotiated rates