How much does Medicare pay for CPT 64447?

Medicare allowed an average of $58.78 per service and paid $46.62 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $832.53, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 64447?

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve). It was billed 262,655 times to 229,552 Medicare beneficiaries by 8,798 providers in 2024.

Does 64447 pay differently in an office than a hospital?

Yes. The allowed amount averaged $77.43 in an office setting and $56.04 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 64447 most?

Anesthesiology, with 199,148 services from 7,386 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Nurse Practitioner, Family Practice.

CPT 64447

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)

$58.78Medicare-allowed amount per service, averaged across 262,655 services

Providers submitted

$832.53

Asking price, not received

Medicare allowed

$58.78

The fee schedule figure

Medicare paid

$46.62

Balance is patient coinsurance

Providers submitted an average of $832.53 for this code and Medicare allowed $58.78 — 14.2× 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 $46.62 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $77.43
Hospital / facility: $56.04

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. 33,674 services were billed in an office setting and 228,981 in a facility.

Services: 262,655
Beneficiaries: 229,552
Providers billing it: 8,798
Total allowed: $15,438,861

What Medicare pays for CPT 64447

Across 262,655 services billed by 8,798 providers to 229,552 beneficiaries, Medicare allowed an average of $58.78 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 64447

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	199,148	196,601	$56.18	7,386
Certified Registered Nurse Anesthetist (CRNA)	29,274	28,827	$55.61	1,292
Nurse Practitioner	16,940	539	$71.92	9
Family Practice	8,684	817	$80.93	8
Neurology	3,376	274	$85.35	10
General Practice	1,719	84	$82.08	2
Internal Medicine	938	543	$71.95	5
Physical Medicine and Rehabilitation	892	338	$101.81	9
Pain Management	735	679	$69.54	33
Interventional Pain Management	359	339	$68.13	16
Critical Care (Intensivists)	132	131	$58.64	7
Anesthesiology Assistant	89	88	$57.01	5
General Surgery	65	32	$82.36	1
Ambulatory Surgical Center	64	50	$61.37	4
Physician Assistant	62	40	$84.47	2

64447 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	48,134	$68.80	$50.87	642
California	17,451	$55.22	$28.81	759
New York	14,106	$57.23	$29.49	458
Florida	13,952	$58.66	$30.01	446
Ohio	10,012	$57.27	$29.03	363
Pennsylvania	9,926	$58.13	$30.04	381
Illinois	9,212	$59.11	$30.79	360
Tennessee	8,502	$53.24	$29.07	250
Virginia	7,694	$56.73	$28.81	264
Indiana	6,864	$50.08	$27.61	280
North Carolina	6,411	$53.05	$29.42	249
Georgia	6,235	$56.26	$28.35	268
Missouri	5,838	$56.19	$28.16	215
Arizona	5,804	$54.31	$28.48	236
Maryland	5,628	$64.65	$34.73	194
Massachusetts	5,455	$59.09	$30.86	219
South Carolina	5,358	$51.16	$27.97	181
Oklahoma	4,929	$53.20	$29.52	174
Michigan	4,763	$57.14	$28.71	216
New Jersey	4,667	$62.10	$30.68	160
Kansas	4,192	$55.18	$27.74	143
Colorado	3,845	$55.95	$30.31	174
Minnesota	3,807	$56.85	$30.64	152
Kentucky	3,668	$56.86	$30.41	126
Iowa	3,635	$56.35	$30.74	161
Arkansas	3,327	$56.68	$31.44	81
Nebraska	3,212	$55.65	$28.87	113
Washington	3,178	$58.59	$27.77	167
Mississippi	3,135	$54.99	$28.79	80
Alabama	3,025	$52.78	$27.99	130
Wisconsin	2,978	$56.04	$32.10	141
Connecticut	2,909	$61.29	$28.71	100
Louisiana	2,811	$55.92	$30.55	90
Utah	2,197	$56.52	$31.09	112
Oregon	2,028	$56.28	$29.35	109
Nevada	1,683	$55.41	$30.16	77
New Hampshire	1,620	$56.15	$31.45	73
South Dakota	1,212	$57.31	$27.93	38
Idaho	1,011	$45.91	$29.94	47
New Mexico	953	$56.33	$29.71	52
Montana	836	$55.71	$28.57	41
Delaware	832	$60.27	$29.31	23
North Dakota	829	$58.56	$30.80	37
Maine	801	$57.81	$29.72	41
District of Columbia	751	$62.21	$28.92	35
Alaska	726	$79.83	$36.90	29
West Virginia	602	$53.66	$29.49	25
Rhode Island	548	$57.38	$31.30	26
Wyoming	516	$54.80	$27.51	18
Hawaii	399	$57.46	$29.58	22
Vermont	352	$55.08	$33.57	16
AP	43	$46.17	$24.90	1
Puerto Rico	41	$54.80	$26.64	2
ZZ	12	$57.28	$28.30	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
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
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.