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 64486 Fee Schedule
Medicare rates as of October 2026
CPT 64486 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
Transversus Abdominis Plane (T, Transversus Abdominis Plane (Tap) Block (Abdominalplane Block Rectus Sheath Block) Unilateral By Injection(S) (Includes Imaging Guidance When Performed)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $125.59 national non-facility rate (2026) · View Medicare rates for 64486 |
| Medicaid Fee Schedule | $88.465 median of the 8 states in the free preview · View Medicaid rates for 64486 |
National average reimbursement for CPT 64486 by major payers:
$142.66
BCBS / Anthem
$161.25
UnitedHealthcare
$175.22
Aetna
$108.33
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 64486.
CPT 64486
5 of 25 sample ratesHigher to lower in this preview
Roc Surgery LLC, Riley Outpatient Surgery Center
Roc Surgery LLC
$4,613.00Published rateMurdock Ambulatory Surgery Center LLC
Murdock Ambulatory Surgery Cente
$531.00Published rateSunset Pain Surgery Center
$200.00Published rateTourney Plaza Surgical Center
$122.00Published rateAmin Surgery Center For Women LLC
$64.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
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 64486 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 64486. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 64486-CPT | Low | Transversus Abdominis Plane (T, Transversus Abdominis Plane (Tap) Block (Abdominalplane Block Rectus Sheath Block) Unilateral By Injection(S) (Includes Imaging Guidance When Performed) |
| 64487-CPT | Moderate | Transversus Abdominis Plane (T, Transversus Abdominis Plane (Tap) Block (Abdominalplane Block Rectus Sheath Block) Unilateral By Continuous Infusion(S) (Includes Imaging Guidancewhen Performed) |
| 64488-CPT | Low | Transversus Abdominis Plane (T, Transversus Abdominis Plane (Tap) Block (Abdominalplane Block Rectus Sheath Block) Bilateral By I Njections (Includes Imaging Guidance When Performed) |
| 64489-CPT | Moderate | Transversus Abdominis Plane (T, Transversus Abdominis Plane (Tap) Block (Abdominalplane Block Rectus Sheath Block) Bilateral By C Ontinuous Infusions (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 64486. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64486 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 64486) and we'll show you how you compare in 15 minutes or less.