CPT 64495

Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 3+ Level

CPT 64495 pays $98.87 in a non-facility setting and $45.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $88.62 in Arkansas to $118.16 in Alaska, a 33% spread.

National non-facility rate

$98.87

Office and other outpatient settings

Facility rate
$45.09

Hospital and ASC settings

Highest state
$118.16

Alaska

Lowest state
$88.62

Arkansas · 33% 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 $98.87
CPT 64495 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $98.87, national facility $45.09.
StateRate compared visuallyNon-facilityFacility
Alaska
$118.16$60.89
District of Columbia
$112.23$48.88
California
$110.45$46.82
New Jersey
$108.77$48.22
New York
$108.72$48.72
Washington
$108.22$46.91
Massachusetts
$107.22$46.80
Hawaii
$106.44$45.29
Connecticut
$104.97$47.05
Colorado
$102.74$45.52
Maryland
$102.20$46.14
Oregon
$101.78$45.13
Florida
$101.61$47.65
Rhode Island
$101.29$45.74
New Hampshire
$101.13$45.15
Puerto Rico
$99.52$45.16
Virgin Islands
$99.52$45.16
Illinois
$99.27$47.31
Montana
$98.86$45.09
Minnesota
$98.83$43.49
Nevada
$98.48$44.65
Wyoming
$98.17$44.40
Pennsylvania
$98.04$45.37
Delaware
$98.00$44.87
Texas
$97.87$44.93
North Dakota
$97.28$43.50
South Dakota
$97.09$43.32
Virginia
$97.00$44.14
Vermont
$96.91$43.67
Georgia
$96.52$45.22
Arizona
$96.51$44.41
Michigan
$96.08$45.59
Maine
$95.04$43.66
Utah
$94.79$44.24
Wisconsin
$94.35$42.84
New Mexico
$94.14$44.82
North Carolina
$93.65$43.48
South Carolina
$93.64$43.95
Missouri
$93.60$44.25
Louisiana
$93.47$44.37
Ohio
$93.37$44.27
Indiana
$92.86$43.01
Idaho
$92.38$42.91
Nebraska
$92.32$42.68
Iowa
$91.86$42.66
Tennessee
$91.85$42.97
West Virginia
$91.70$44.97
Kentucky
$91.60$43.79
Oklahoma
$91.48$43.46
Kansas
$91.45$42.84
Alabama
$89.77$42.72
Mississippi
$89.35$43.05
Arkansas
$88.62$42.43

Billed by 1 specialties

Commercial rates for 64495

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

See negotiated rates