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 64495 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Inj Paravert F Jnt L S 3 Lev, Injection S Diagnostic Or Therapeutic Agent Paravertebral Facet Zygapophyseal Joint Or Nerves Innervating That Joint With Image Guidance Fluoroscopy Or Ct Lumbar Or Sacral Third And Any Additional Level S List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None 50 - Bilateral Procedure RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 64495 |
| Medicaid Fee Schedule | View Medicaid rates for 64495 |
National average reimbursement for CPT 64495 by major payers:
$115.81
$125.10
$132.16
$154.64
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 64495.
CPT 64495
5 of 25 sample ratesHigher to lower in this preview
Urology Surgery Center Of Colorado LLC
$906.00Published rateEndo Surgi Center Of Old Bridge LLC
Endo-Surgi Center Of Old Bridge, LLC
$463.00Published rateCrosstown Surgery Center LLC
$168.00Published rateTri-State Gastroenterology Associates, Psc, Tri-State Digestive Disorder Center
Tri-State Gastroenterology Associates, Psc
$113.00Published rateThibodaux Endoscopy LLC
Thibodaux Endoscopy, L.L.C.
$76.00Published 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 64495 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64495 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 64495 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 64483-CPT | Moderate | Njx Aa Strd Tfrm Epi L S 1, Injection S Anesthetic Agent S And Or Steroid Transforaminal Epidural With Imaging Guidance Fluoroscopy Or Ct Lumbar Or Sacral Single Level |
| 64493-CPT | Moderate | Inj Paravert F Jnt L S 1 Lev, Injection S Diagnostic Or Therapeutic Agent Paravertebral Facet Zygapophyseal Joint Or Nerves Innervating That Joint With Image Guidance Fluoroscopy Or Ct Lumbar Or Sacral Single Level |
| 64494-CPT | Low | Inj Paravert F Jnt L S 2 Lev, Injection S Diagnostic Or Therapeutic Agent Paravertebral Facet Zygapophyseal Joint Or Nerves Innervating That Joint With Image Guidance Fluoroscopy Or Ct Lumbar Or Sacral Second Level List Separately In Addition To Code For Primary Procedure |
| 64495-CPT | Low | Inj Paravert F Jnt L S 3 Lev, Injection S Diagnostic Or Therapeutic Agent Paravertebral Facet Zygapophyseal Joint Or Nerves Innervating That Joint With Image Guidance Fluoroscopy Or Ct Lumbar Or Sacral Third And Any Additional Level S List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64495. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64495 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 64495) and we'll show you how you compare in 15 minutes or less.