Pain Medicine reimbursement rates by service line
Compare payer-published pain medicine benchmarks for injections; facet interventions; ablation; stimulation; office visits.
Compare national pain medicine rates by payer
Use the reference codes to compare payer benchmarks, then explore injections; facet interventions; ablation; stimulation; office visits. Each rate represents a specific billing code and comparison cohort, rather than a complete episode of care.
Aetna state variation for 64483
National 64483 rate distribution
Each marker shows the national median published rate across billing entities for that payer.
National 64483 rates by payer
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | Jun–Jul 2026 | 83,642 | $240.03 | $300.01 | |||
| Cigna | Jun–Jul 2026 | 52,511 | $280.93 | $371.16 | |||
| United | Jun–Jul 2026 | 99,768 | $429.80 | $498.48 | |||
| Anthem | Jun–Jul 2026 | 113,205 | $221.41 | $365.16 |
- Source
- Negotiated or fee-schedule amounts published directly by payers in their machine-readable files.
- Rate shown
- Published commercial rate for lumbar or sacral transforaminal epidural injection, single level (64483).
- Method
- Eligible rates are grouped by payer and billing entity so the benchmarks use a consistent service and billing basis.
The state map uses one consistent Aetna reference series; it does not average already-aggregated payer values. The service-line table keeps unlike codes, settings, and billing units in separate comparisons.
How do specific pain medicine providers compare?
Compare named provider rates with the selected payer's median and percentile distribution.
National: Pain Medicine provider benchmarks (CPT 64483)
| Provider entity | State | Size | $ per service | Gap to median | Position in Aetna range |
|---|---|---|---|---|---|
| VERO BEACH NEUROLOGY AND RESEARCH INSTITUTE LLCNPI 1003818816 · Tax ID 812127471 | FL | 3 | $141.74 | -$98.29 | Below P25 |
| MEDPLUS PHYSICIAN GROUP INCNPI 1194345959 · Tax ID 845159552 | TX | 19 | $166.43 | -$73.60 | Below P25 |
| EPILEPSY AND NEUROLOGY GROUP LLCNPI 1285719591 · Tax ID 273530764 | NJ | 4 | $181.58 | -$58.45 | Below P25 |
| NEUROLOGY CONSULTANTS OF NORTH JERSEY PROFESSIONAL ASSOCIATIONNPI 1508025834 · Tax ID 464313536 | NJ | 4 | $197.35 | -$42.68 | P25 to median |
| NEW NARRATIVENPI 1619716537 · Tax ID 843025362 | LA | 2 | Median to P75 | ||
| INTEGRATED ANESTHESIA ASSOCIATES LLCNPI 1003226226 · Tax ID 061223155 | NY | 1,036 | Above P75 |
Choose one state to replace the mixed-state examples with payer-specific provider rates across all three preview codes.
No trial or data preparation required.Explore pain medicine services
Compare codes within the same billing context. A reported billing unit may describe a timed service, supply quantity, daily service or procedure; it does not always mean one visit.
| Service line / billing code | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
$ per reported billing unit · 13 codes | ||||
64491Cervical or thoracic facet joint injection, second level | $123.45 | $161.32 | $202.21 | $158.76 |
63650Implant Pain Control Device | $1,713.81 | $1,170.97 | $3,874.24 | $1,819.59 |
64634Cervical or thoracic facet joint nerve destruction, each additional level | $234.58 | $305.95 | $427.89 | $278.14 |
20553Muscle Relaxant Injection | $81.70 | $105.12 | $126.03 | $113.80 |
64520Injection of anesthetic agent; lumbar or thoracic paravertebral sympathetic | $243.01 | $303.21 | $439.37 | $291.41 |
64483Lumbar or sacral transforaminal epidural injection, single level | $300.01 | $371.16 | $498.48 | $365.16 |
64635Lumbar or sacral facet joint nerve destruction, single level | $499.05 | $474.03 | $881.35 | $676.17 |
64493Lumbar or sacral facet joint injection, single level | $213.35 | $279.01 | $372.69 | $272.95 |
64636Lumbar or sacral facet joint nerve destruction, each additional level | $214.94 | $282.08 | $393.74 | $250.66 |
27096Injection Procedure For Sacroi | $199.11 | $259.60 | $339.24 | $259.22 |
64484Lumbar or sacral transforaminal epidural injection, each additional level | $134.81 | $166.05 | $223.93 | $174.71 |
64490Cervical or thoracic facet joint injection, single level | $238.24 | $310.62 | $408.49 | $307.37 |
64633Cervical or thoracic facet joint nerve destruction, single level | $500.75 | $474.41 | $887.39 | $685.49 |
$ per reported billing unit · 2 codes | ||||
76942Ultrasound guidance for needle placement | $118.88 | $137.47 | $123.19 | $205.52 |
77002X-Ray-Guided Needle Placement | $149.43 | $178.46 | $180.83 | $191.80 |
$ per reported billing unit · 4 codes | ||||
99215Established patient office visit, level 5 | $186.60 | $241.40 | $260.67 | $237.80 |
99214Established patient office visit, level 4 | $132.07 | $173 | $192.11 | $178.24 |
99213Established patient office visit, level 3 | $95.38 | $119.42 | $132.87 | $125.49 |
99204New patient office visit, level 4 | $196.44 | $252.28 | $282.70 | $259.53 |
$ per reported billing unit · 1 code | ||||
80307Presumptive drug testing by instrumented chemistry analysis | $70.13 | $111.92 | $59.41 | $102.13 |
Tell us the services, payers, states, and networks you need. We'll confirm available coverage and scope the comparison on a 20-minute call.
Book a 20-min scoping call No trial or data preparation required.How to interpret these benchmarks
Payer-published rates provide market context. They do not establish a practice's contracted rate or the total cost of care.
- Source and periodRates come from the specialty's national report. The displayed period follows the processed data included in the latest published snapshot and updates when that snapshot is refreshed.
- Comparable ratesComparisons use positive professional fee-for-service negotiated and fee-schedule dollar amounts. Percentages, bundled arrangements and per-diem rate types are excluded. Modifier cohorts and code-specific amounts remain separate.
- CalculationRates are reduced to one modal value per NPI and TIN entity, averaging tied modes. Two percent per tail is targeted for trimming while keeping boundary ties. Benchmarks require at least 10 included entities and are not weighted by patient volume.
- CoverageNational report coverage does not guarantee every payer or state is available for every code. Anthem represents the displayed Anthem cohort, rather than all regional Blue plans. Missing benchmarks are not zero rates.
- Billing contextMatch the exact code, billing unit, modifier, setting and network. Equipment rentals and supplies require their own interval and quantity checks. Professional rates exclude facility charges; anesthesia conversion factors are outside these comparisons.
Get the pain medicine reimbursement data you're looking for
Choose the services, payers, states, networks, and provider entities relevant to your question. We'll confirm the available coverage and prepare the comparison.
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We'll tell you what the data can support, where the gaps are, and the clearest way to structure the comparison.
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Explore pain medicine rates by state
Choose a state to compare payer reference averages for common services.
Questions about pain medicine benchmarks
How to interpret the selected market and payer-published rates.
What does the national benchmark compare?
The headline uses Lumbar or sacral transforaminal epidural injection, single level (64483). The other reference codes and service lines provide separate comparisons rather than combining unlike services.
Why is a payer or state missing?
A benchmark appears only when the selected code and cohort meet the publication rules, including at least 10 entities after trimming. Report-wide coverage can be broader than an individual comparison.
Will the reporting period change?
Yes. The period displayed with the benchmark follows the processed source data when the publication snapshot is refreshed.