How much does Medicare pay for CPT 64416?

Medicare allowed an average of $75.09 per service and paid $59.19 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1474.51, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 64416?

Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter. It was billed 4,947 times to 4,911 Medicare beneficiaries by 265 providers in 2024.

Does 64416 pay differently in an office than a hospital?

Yes. The allowed amount averaged $78.16 in an office setting and $74.93 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 64416 most?

Anesthesiology, with 4,506 services from 242 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA).

CPT 64416

Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter

$75.09Medicare-allowed amount per service, averaged across 4,947 services

Providers submitted

$1474.51

Asking price, not received

Medicare allowed

$75.09

The fee schedule figure

Medicare paid

$59.19

Balance is patient coinsurance

Providers submitted an average of $1474.51 for this code and Medicare allowed $75.09 — 19.6× 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 $59.19 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $78.16
Hospital / facility: $74.93

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. 256 services were billed in an office setting and 4,691 in a facility.

Services: 4,947
Beneficiaries: 4,911
Providers billing it: 265
Total allowed: $371,470

What Medicare pays for CPT 64416

Across 4,947 services billed by 265 providers to 4,911 beneficiaries, Medicare allowed an average of $75.09 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 64416

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	4,506	4,474	$75.32	242
Certified Registered Nurse Anesthetist (CRNA)	441	437	$72.74	23

64416 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
Michigan	580	$77.20	$40.20	30
Texas	573	$72.72	$44.59	34
California	536	$80.16	$39.20	28
Florida	474	$75.05	$36.78	21
Ohio	430	$73.35	$39.96	20
Washington	378	$74.95	$40.33	19
Missouri	266	$73.72	$31.13	11
Massachusetts	229	$78.12	$48.25	15
Illinois	176	$72.90	$46.33	6
Kentucky	173	$71.87	$34.76	9
Colorado	118	$73.71	$37.84	8
Oregon	100	$72.49	$35.66	7
South Carolina	99	$72.49	$33.53	7
Tennessee	91	$72.41	$31.98	6
New York	74	$83.22	$32.81	3
Georgia	60	$71.77	$40.91	3
Wisconsin	54	$70.65	$42.77	4
District of Columbia	53	$80.54	$37.95	4
Maryland	51	$78.02	$37.77	3
Utah	48	$75.02	$47.11	3
North Carolina	47	$71.00	$35.97	3
Arkansas	47	$72.20	$34.69	3
Virginia	40	$72.82	$34.98	2
Pennsylvania	32	$67.91	$43.62	2
Minnesota	31	$71.40	$44.09	2
Iowa	26	$71.87	$53.21	1
Louisiana	25	$75.13	$51.44	2
Wyoming	22	$71.64	$35.16	1
New Mexico	18	$75.95	$37.80	1
Indiana	17	$71.03	$29.63	1
Idaho	14	$70.62	$31.67	1
Alaska	14	$102.79	$46.65	1
Mississippi	14	$70.82	$33.79	1
New Hampshire	13	$72.32	$36.35	1
South Dakota	13	$71.55	$41.16	1
Nevada	11	$73.76	$59.50	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.