How much does Medicare pay for CPT 64400?

Medicare allowed an average of $103.49 per service and paid $80.20 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $573.14, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 64400?

Injection of anesthetic agent and/or steroid into face nerve. It was billed 11,538 times to 3,056 Medicare beneficiaries by 140 providers in 2024.

Does 64400 pay differently in an office than a hospital?

Yes. The allowed amount averaged $110.90 in an office setting and $43.04 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 64400 most?

Neurology, with 5,849 services from 68 clinicians. Next are Nurse Practitioner, Physician Assistant, Interventional Pain Management.

CPT 64400

Injection of anesthetic agent and/or steroid into face nerve

$103.49Medicare-allowed amount per service, averaged across 11,538 services

Providers submitted

$573.14

Asking price, not received

Medicare allowed

$103.49

The fee schedule figure

Medicare paid

$80.20

Balance is patient coinsurance

Providers submitted an average of $573.14 for this code and Medicare allowed $103.49 — 5.5× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $80.20 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $110.90
Hospital / facility: $43.04

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 10,278 services were billed in an office setting and 1,260 in a facility.

Services: 11,538
Beneficiaries: 3,056
Providers billing it: 140
Total allowed: $1,194,068

What Medicare pays for CPT 64400

Across 11,538 services billed by 140 providers to 3,056 beneficiaries, Medicare allowed an average of $103.49 per service. That is 3.8 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 64400

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	5,849	1,485	$110.87	68
Nurse Practitioner	1,710	496	$82.68	23
Physician Assistant	1,103	242	$93.17	13
Interventional Pain Management	1,030	61	$112.52	2
Anesthesiology	457	207	$67.17	10
Oral Surgery (Dentist only)	444	132	$133.92	6
Pain Management	283	96	$115.04	5
Dentist	131	42	$134.57	3
Dermatology	111	41	$85.35	1
Maxillofacial Surgery	107	77	$157.21	2
Otolaryngology	94	41	$45.88	1
Certified Registered Nurse Anesthetist (CRNA)	76	73	$76.46	2
Neurosurgery	47	13	$35.44	1
General Practice	39	11	$80.32	1
Ambulatory Surgical Center	36	19	$79.65	1

64400 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Arizona	1,534	$122.22	$96.50	21
Massachusetts	1,448	$117.59	$70.90	8
California	1,421	$109.92	$72.49	13
New York	1,227	$139.78	$93.63	12
Virginia	878	$56.57	$40.77	8
Ohio	591	$112.02	$94.47	2
North Carolina	577	$95.90	$78.58	5
Texas	516	$84.29	$66.56	8
Colorado	461	$97.58	$76.30	5
Oklahoma	370	$115.57	$91.18	7
Michigan	307	$88.53	$71.18	6
Utah	290	$47.95	$45.26	3
Louisiana	251	$110.85	$69.45	1
Florida	187	$68.95	$45.00	5
Connecticut	176	$43.60	$29.89	6
Pennsylvania	134	$92.29	$72.91	4
Maryland	108	$77.01	$51.92	4
Indiana	103	$105.77	$97.30	1
Arkansas	94	$45.88	$39.14	1
District of Columbia	88	$152.20	$95.61	2
Nevada	82	$97.98	$73.78	1
Idaho	77	$33.44	$30.85	1
Illinois	74	$58.54	$37.93	1
Georgia	70	$92.45	$79.03	1
Minnesota	63	$59.21	$44.28	2
Washington	58	$130.28	$86.23	1
Kentucky	48	$119.19	$101.36	1
Tennessee	42	$33.17	$23.76	1
New Mexico	41	$148.34	$119.73	1
Hawaii	39	$34.93	$20.93	1
West Virginia	36	$124.09	$107.46	1
Puerto Rico	35	$168.20	$130.94	1
New Jersey	29	$103.61	$74.49	1
Mississippi	22	$143.16	$64.86	1
South Carolina	22	$101.60	$89.97	1
Alabama	20	$27.19	$24.27	1
Wisconsin	19	$44.10	$36.41	1

Related codes

64483Injection of anesthetic and/or steroid drug into sacral spine nerve ro$263.09
64493Injection of lower or sacral spine facet joint$243.14
64494Injection of lower or sacral spine facet joint$96.60
64450Injection of anesthetic agent and/or steroid into other nerve or branc$44.99
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral$58.78
64484Injection of anesthetic and/or steroid drug into sacral spine nerve ro$84.15
64490Injection of upper or middle spine facet joint$259.70
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (br$67.89
64491Injection of upper or middle spine facet joint$100.48
64445Injection of anesthetic agent and/or steroid into lower back and leg n$173.06
64405Injection of anesthetic agent and/or steroid into upper neck and back$71.75
64479Injection of anesthetic and/or steroid drug into upper or middle spine$275.58

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.