Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 64455 Fee Schedule
CPT 64455 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Injection Into A Foot Nerve, Injection Of A Steroid Or Numbing Agent Into The Main Nerve Running Across The Top Of The Foot To The Toes (Plantar Common Digital Nerve).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 11Office 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5441 - Level 1 Nerve Injections |
| Surgery Center Payment (ASC) | P3 - Office-based; paid from physician fee schedule practice expense |
| Add-on Codes | 77002 |
| Common Revenue Codes | 07610360Sign up to view all 11 |
| Medicare Fee Schedule | View Medicare rates for 64455 |
| Medicaid Fee Schedule | $35.025 median of the 8 states in the free previewView Medicaid rates for 64455 |
National average reimbursement for CPT 64455 by major payers:
$69.31
BCBS / Anthem
$67.19
UnitedHealthcare
$69.12
Aetna
$68.72
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 64455.
CPT 64455
5 of 25 sample ratesHigher to lower in this preview
Grhs, LLC, Rochester Ambulatory Surgery Center
Rochester Ambulatory Surgery Center
$1,108.00Published ratePiccard Surgery Center, LLC
$566.00Published rateArmenia Ambulatory Surgery Center LLC, Medical Village Surgical Center
$339.00Published rateHollywood Surgical Center, LLC
Hollywood Surgical Center LLC
$176.00Published rateLaser & Surgery Center Of Acadiana
Laser Surgery Center Of Acadiana
$78.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Looking for other data?
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 64455 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 64455. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 64451-CPT | Njx Aa Strd Nrv Nrvtg Si Jt, Injection S Anesthetic Agent S And Or Steroid Nerves Innervating The Sacroiliac Joint With Image Guidance Ie Fluoroscopy Or Computed Tomography |
| 64454-CPT | Njx Aa Strd Gnclr Nrv Brnch, Injection S Anesthetic Agent S And Or Steroid Genicular Nerve Branches Including Imaging Guidance When Performed |
| 64455-CPT | Injection Into A Foot Nerve, Injection Of A Steroid Or Numbing Agent Into The Main Nerve Running Across The Top Of The Foot To The Toes (Plantar Common Digital Nerve). |
| 64486-CPT | Transversus Abdominis Plane (T, Transversus Abdominis Plane (Tap) Block (Abdominalplane Block Rectus Sheath Block) Unilateral By Injection(S) (Includes Imaging Guidance When Performed) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64455. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64455 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 64455) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
How can I find out the cost of a specific medical procedure or service before I get it?
To find out the cost of a specific medical procedure or service, you generally need to know the CPT (Current Procedural Terminology) code for that service. With the CPT code and your specific location, you can use online tools to estimate costs. For an efficient way to search for fee schedules based on CPT codes and specific locations, you can use Payerprice's fee schedule lookup tool. This can help you understand potential out-of-pocket costs and compare prices.
What is a CPT code and how do I use it to understand my medical bill?
A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare providers to describe medical, surgical, and diagnostic services. These codes are essential for standardizing how services are billed to insurance companies and patients. On your medical bill, CPT codes indicate the exact services you received. To understand the associated costs for these services, especially for your specific location, you can utilize tools like Payerprice, which allows you to search for fee schedules using CPT codes.
Where can I look up the standard charges or fee schedules for medical procedures in my area?
Looking up standard charges or fee schedules for medical procedures in your specific area can be complex due to variations in pricing among providers and payers. However, resources are available to help. For a comprehensive way to search for fee schedules with CPT codes and specific locations, it is recommended to use Payerprice's fee schedule lookup tool. This tool is designed to help users find relevant pricing information directly, assisting with price comparisons and financial planning for healthcare services.
Why do medical costs vary so much, and how can I find the best price?
Medical costs can vary significantly due to a multitude of factors, including the type of facility (hospital vs. independent clinic), geographic location, insurance negotiation, and the provider's specific pricing structure. To find the "best" price often involves comparing costs from different providers for the same service. To effectively compare prices and look up fee schedules for specific procedures using CPT codes and your location, Payerprice offers a dedicated fee schedule lookup tool. This can empower you to make more informed decisions about your healthcare spending.
What APC is CPT 64455 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 64455 to APC 5441 (Level 1 Nerve Injections). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 64455 in an ambulatory surgery center?
CMS lists CPT 64455 with ASC payment indicator P3: Office-based; paid from physician fee schedule practice expense.
Which add-on codes are billed with CPT 64455?
CMS add-on code edits list CPT 64455 as a primary code for these add-on codes: 77002.
Which revenue codes are billed with CPT 64455?
Hospital price transparency files list CPT 64455 under these revenue codes: including 0761, 0360, 0361, 0450 and 0510. A revenue code names the hospital department or charge category for the line; it does not change what the service is.