How much does Medicare pay for CPT 64415?

Medicare allowed an average of $67.89 per service and paid $53.66 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $978.79, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 64415?

Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus). It was billed 114,062 times to 112,260 Medicare beneficiaries by 5,056 providers in 2024.

Does 64415 pay differently in an office than a hospital?

Yes. The allowed amount averaged $111.25 in an office setting and $67.15 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 64415 most?

Anesthesiology, with 101,557 services from 4,467 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Pain Management, Physical Medicine and Rehabilitation.

CPT 64415

Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)

$67.89Medicare-allowed amount per service, averaged across 114,062 services

Providers submitted

$978.79

Asking price, not received

Medicare allowed

$67.89

The fee schedule figure

Medicare paid

$53.66

Balance is patient coinsurance

Providers submitted an average of $978.79 for this code and Medicare allowed $67.89 — 14.4× 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 $53.66 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $111.25
Hospital / facility: $67.15

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. 1,912 services were billed in an office setting and 112,150 in a facility.

Services: 114,062
Beneficiaries: 112,260
Providers billing it: 5,056
Total allowed: $7,743,669

What Medicare pays for CPT 64415

Across 114,062 services billed by 5,056 providers to 112,260 beneficiaries, Medicare allowed an average of $67.89 per service. 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 64415

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	101,557	100,600	$66.68	4,467
Certified Registered Nurse Anesthetist (CRNA)	10,361	10,261	$65.63	531
Pain Management	434	419	$71.08	18
Physical Medicine and Rehabilitation	391	193	$122.90	6
Neurology	387	143	$131.37	3
Interventional Pain Management	231	133	$133.75	7
Ambulatory Surgical Center	180	131	$426.03	4
Internal Medicine	118	114	$79.33	5
Family Practice	108	63	$123.27	4
General Practice	58	54	$114.60	3
Sports Medicine	55	30	$138.00	2
Nurse Practitioner	52	20	$96.98	1
Orofacial Pain	42	20	$129.10	1
Critical Care (Intensivists)	36	36	$65.24	1
Physician Assistant	25	16	$129.72	1

64415 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
Texas	8,266	$66.61	$36.96	349
Florida	7,945	$70.50	$37.22	308
California	6,871	$76.14	$39.52	342
North Carolina	5,951	$65.51	$34.65	224
Ohio	5,392	$67.61	$36.81	230
Pennsylvania	4,931	$67.45	$34.15	222
Virginia	4,368	$68.17	$34.17	189
Tennessee	4,311	$68.02	$39.64	171
South Carolina	4,221	$63.96	$33.95	167
New York	3,876	$72.23	$37.16	186
Illinois	3,284	$68.97	$37.29	162
Missouri	3,262	$65.66	$33.49	142
Georgia	3,259	$66.21	$32.73	158
Massachusetts	3,063	$68.73	$36.07	137
Indiana	3,058	$66.89	$34.58	143
Colorado	2,812	$67.86	$37.27	115
Arizona	2,588	$67.66	$33.85	139
Maryland	2,488	$75.14	$42.15	105
Oklahoma	2,453	$64.75	$34.57	103
Arkansas	2,301	$63.23	$35.88	69
Louisiana	2,203	$64.82	$35.25	76
Michigan	1,930	$69.02	$35.50	97
Kansas	1,907	$64.22	$31.16	91
New Jersey	1,897	$71.55	$34.19	87
Mississippi	1,820	$64.82	$35.13	69
Kentucky	1,771	$64.85	$33.65	80
Alabama	1,702	$63.08	$31.53	87
Minnesota	1,607	$69.17	$37.46	85
Washington	1,438	$66.74	$31.50	81
Iowa	1,332	$63.92	$35.05	78
Connecticut	1,329	$69.39	$33.03	64
Nebraska	1,101	$63.36	$29.67	38
Utah	1,074	$65.72	$35.58	48
Wisconsin	1,039	$64.45	$35.37	60
Oregon	848	$66.08	$36.42	45
Idaho	680	$63.18	$36.38	25
New Hampshire	640	$66.45	$36.11	36
Montana	614	$69.41	$36.74	35
Nevada	579	$66.16	$32.25	29
South Dakota	579	$64.45	$33.45	23
Delaware	489	$66.68	$33.49	18
North Dakota	455	$65.12	$31.33	21
Alaska	375	$89.70	$37.44	17
Maine	324	$67.07	$36.88	18
Wyoming	324	$66.26	$32.31	18
New Mexico	324	$66.76	$32.04	18
District of Columbia	276	$70.76	$32.52	16
West Virginia	269	$66.08	$32.79	15
Hawaii	170	$66.20	$32.12	4
Rhode Island	157	$68.52	$36.54	8
Vermont	71	$66.18	$37.35	5
Guam	14	$70.75	$51.68	1
AP	12	$70.68	$26.81	1
Puerto Rico	12	$67.35	$29.01	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
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
64455Injection of anesthetic and/or steroid drug into foot nerve$48.08

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.