How much does Medicare pay for CPT 64484?

Medicare allowed an average of $84.15 per service and paid $66.60 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $632.72, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 64484?

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level. It was billed 251,059 times to 188,529 Medicare beneficiaries by 4,294 providers in 2024.

Does 64484 pay differently in an office than a hospital?

Yes. The allowed amount averaged $112.10 in an office setting and $52.78 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 64484 most?

Physical Medicine and Rehabilitation, with 75,277 services from 1,328 clinicians. Next are Pain Management, Anesthesiology, Interventional Pain Management.

CPT 64484

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level

$84.15Medicare-allowed amount per service, averaged across 251,059 services

Providers submitted

$632.72

Asking price, not received

Medicare allowed

$84.15

The fee schedule figure

Medicare paid

$66.60

Balance is patient coinsurance

Providers submitted an average of $632.72 for this code and Medicare allowed $84.15 — 7.5× 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 $66.60 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $112.10
Hospital / facility: $52.78

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. 132,757 services were billed in an office setting and 118,302 in a facility.

Services: 251,059
Beneficiaries: 188,529
Providers billing it: 4,294
Total allowed: $21,126,615

What Medicare pays for CPT 64484

Across 251,059 services billed by 4,294 providers to 188,529 beneficiaries, Medicare allowed an average of $84.15 per service. That is 1.3 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 64484

Specialty	Services	Beneficiaries	Avg allowed	Providers
Physical Medicine and Rehabilitation	75,277	57,912	$80.38	1,328
Pain Management	64,669	48,536	$86.43	1,130
Anesthesiology	48,344	36,051	$83.07	857
Interventional Pain Management	46,994	34,227	$87.66	678
Orthopedic Surgery	8,006	5,832	$90.94	130
Neurology	1,459	1,069	$97.16	26
Diagnostic Radiology	1,049	836	$72.91	34
Family Practice	1,022	783	$74.58	17
Osteopathic Manipulative Medicine	726	538	$74.32	7
Neurosurgery	661	488	$65.09	11
Sports Medicine	625	484	$72.24	17
Certified Registered Nurse Anesthetist (CRNA)	324	274	$65.82	14
Interventional Radiology	293	225	$104.45	6
Internal Medicine	269	196	$114.97	9
Psychiatry	249	214	$62.49	2

64484 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
Florida	28,246	$104.11	$82.28	366
California	27,532	$80.20	$58.99	432
Texas	21,755	$79.62	$65.00	397
New York	15,458	$106.60	$74.92	271
Arizona	12,774	$87.74	$71.20	163
Virginia	10,205	$106.30	$83.27	110
Illinois	9,949	$83.81	$64.32	163
Pennsylvania	9,360	$75.52	$59.34	179
New Jersey	8,991	$83.98	$61.64	181
Maryland	8,961	$69.74	$52.78	119
Georgia	8,392	$72.83	$59.23	175
North Carolina	6,962	$95.21	$79.74	139
South Carolina	6,788	$92.20	$77.21	87
Ohio	6,382	$68.79	$56.12	137
Massachusetts	4,989	$85.32	$61.63	93
Louisiana	4,773	$63.78	$53.49	83
Colorado	4,448	$72.57	$56.92	82
Alabama	4,273	$72.63	$64.01	65
Tennessee	4,064	$74.73	$64.31	71
Indiana	3,602	$66.61	$55.80	82
Michigan	3,539	$91.76	$74.60	97
Utah	3,506	$98.35	$81.14	66
Oklahoma	2,952	$77.35	$67.00	53
Kansas	2,820	$49.19	$40.20	39
Mississippi	2,801	$57.01	$48.22	36
Kentucky	2,621	$84.00	$72.45	52
Missouri	2,557	$63.21	$50.87	58
Delaware	2,226	$74.61	$59.57	24
Washington	2,092	$76.51	$59.09	54
Nevada	1,985	$71.34	$57.55	45
Connecticut	1,971	$90.17	$67.15	41
Wisconsin	1,655	$56.40	$46.89	49
Arkansas	1,655	$63.78	$55.00	34
Nebraska	1,568	$80.66	$69.97	24
Minnesota	1,081	$64.64	$53.51	31
Oregon	1,057	$75.61	$60.03	32
New Mexico	1,030	$83.06	$68.72	19
New Hampshire	836	$74.72	$59.17	20
Iowa	791	$82.76	$70.24	18
Idaho	737	$53.88	$45.39	25
West Virginia	570	$66.21	$53.46	12
Rhode Island	569	$79.01	$62.25	12
South Dakota	448	$54.07	$43.93	8
Puerto Rico	425	$105.10	$86.61	8
Wyoming	356	$57.60	$44.15	6
Alaska	353	$112.92	$73.01	5
Montana	345	$69.85	$54.86	11
District of Columbia	271	$66.12	$48.87	7
North Dakota	197	$49.39	$39.42	6
Hawaii	99	$66.61	$52.82	4
Maine	27	$81.70	$66.04	2
Vermont	15	$48.28	$37.25	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
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.