How much does Medicare pay for CPT 64450?

Medicare allowed an average of $44.99 per service and paid $35.19 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $389.00, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 64450?

Injection of anesthetic agent and/or steroid into other nerve or branch. It was billed 300,418 times to 82,585 Medicare beneficiaries by 2,976 providers in 2024.

Does 64450 pay differently in an office than a hospital?

Yes. The allowed amount averaged $48.93 in an office setting and $29.22 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 64450 most?

Nurse Practitioner, with 123,392 services from 104 clinicians. Next are Anesthesiology, Podiatry, Cardiology.

CPT 64450

Injection of anesthetic agent and/or steroid into other nerve or branch

$44.99Medicare-allowed amount per service, averaged across 300,418 services

Providers submitted

$389.00

Asking price, not received

Medicare allowed

$44.99

The fee schedule figure

Medicare paid

$35.19

Balance is patient coinsurance

Providers submitted an average of $389.00 for this code and Medicare allowed $44.99 — 8.6× 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 $35.19 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $48.93
Hospital / facility: $29.22

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. 240,381 services were billed in an office setting and 60,037 in a facility.

Services: 300,418
Beneficiaries: 82,585
Providers billing it: 2,976
Total allowed: $13,515,806

What Medicare pays for CPT 64450

Across 300,418 services billed by 2,976 providers to 82,585 beneficiaries, Medicare allowed an average of $44.99 per service. That is 3.6 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 64450

Specialty	Services	Beneficiaries	Avg allowed	Providers
Nurse Practitioner	123,392	4,855	$37.29	104
Anesthesiology	46,577	36,200	$37.47	1,392
Podiatry	22,749	7,343	$61.32	223
Cardiology	17,770	102	$54.50	1
Family Practice	13,843	1,000	$57.50	36
Pain Management	12,659	5,781	$58.08	207
Neurology	11,436	3,796	$62.83	147
Physical Medicine and Rehabilitation	11,169	3,953	$58.16	138
Internal Medicine	10,924	507	$53.18	12
Certified Registered Nurse Anesthetist (CRNA)	6,933	6,090	$29.15	301
Ambulatory Surgical Center	6,846	4,657	$28.98	132
Interventional Pain Management	5,845	3,046	$64.94	111
Orthopedic Surgery	2,225	1,847	$36.47	56
Physician Assistant	2,201	680	$57.39	33
Sports Medicine	1,476	674	$52.38	21

64450 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
Oklahoma	57,316	$37.04	$25.18	91
California	44,612	$54.61	$31.03	229
Texas	29,458	$41.05	$28.81	212
Pennsylvania	21,532	$48.56	$36.07	89
Missouri	15,916	$34.29	$25.01	59
New Jersey	15,845	$54.33	$35.76	90
New York	12,595	$56.25	$34.33	243
Florida	11,075	$55.39	$41.16	252
Arizona	9,389	$59.03	$40.54	125
Kansas	9,103	$38.21	$24.92	35
North Carolina	6,634	$36.87	$26.08	92
Nevada	5,746	$38.25	$24.83	16
Ohio	5,294	$44.48	$29.73	137
South Carolina	5,053	$35.40	$23.44	83
Maryland	4,973	$49.91	$35.22	62
Alabama	3,553	$31.36	$26.60	52
Michigan	3,189	$39.56	$27.89	83
Massachusetts	3,140	$48.49	$29.50	57
Mississippi	3,076	$30.21	$23.73	80
Connecticut	2,905	$39.31	$26.95	62
Virginia	2,763	$44.52	$29.42	79
Tennessee	2,742	$33.13	$24.59	66
Illinois	2,333	$49.70	$34.49	84
Indiana	2,299	$32.96	$23.25	64
Colorado	2,219	$59.55	$42.45	43
Utah	2,077	$57.20	$40.65	27
Georgia	1,876	$40.37	$27.10	61
Arkansas	1,515	$46.42	$35.83	41
Louisiana	1,283	$42.57	$33.82	32
Wisconsin	1,272	$48.30	$37.11	36
Minnesota	1,209	$49.71	$30.37	40
Kentucky	1,061	$47.27	$34.88	23
Washington	795	$57.48	$36.20	28
Nebraska	771	$39.79	$32.39	15
Iowa	669	$29.22	$22.99	29
New Hampshire	586	$32.38	$24.61	15
New Mexico	584	$43.41	$32.43	18
Delaware	506	$49.77	$34.72	7
Oregon	492	$60.89	$40.65	17
Rhode Island	435	$35.98	$28.80	10
Idaho	402	$41.66	$29.89	21
Montana	371	$50.03	$37.26	12
Maine	341	$32.85	$21.83	10
Wyoming	294	$31.96	$21.40	10
West Virginia	254	$26.59	$19.17	11
North Dakota	249	$34.36	$19.80	8
Puerto Rico	155	$78.76	$56.13	4
Hawaii	145	$47.13	$26.44	3
South Dakota	108	$61.90	$48.27	4
District of Columbia	72	$55.30	$34.34	4
Alaska	64	$81.89	$52.15	2
Vermont	52	$25.69	$19.59	2
AE	20	$31.54	$20.31	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
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
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.