CPT 64493 Injection
Facet joint injection, cervical/thoracic Cost
Body System: Musculoskeletal
Medicare Facility Rate
$94
CMS PFS CY2026
Medicare Non-Facility Rate
$225
Office/clinic setting
Hospital Outpatient
$904
OPPS rate
Surgery Center (ASC)
$486
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.27
Work RVU
1.50
Facility PE RVU
0.13
Malpractice RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $106 | $290 — $446 |
| AL — ALABAMA | $76 | $224 — $344 |
| AR — ARKANSAS | $76 | $221 — $339 |
| AZ — ARIZONA | $80 | $242 — $373 |
| CA — BAKERSFIELD | $84 | $265 — $407 |
| CA — CHICO | $83 | $264 — $406 |
| CA — EL CENTRO | $83 | $264 — $406 |
| CA — FRESNO | $83 | $264 — $406 |
| CA — HANFORD-CORCORAN | $83 | $264 — $406 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $87 | $282 — $434 |
| CA — MADERA | $83 | $264 — $406 |
| CA — MERCED | $83 | $264 — $406 |
| CA — MODESTO | $83 | $264 — $406 |
| CA — NAPA | $91 | $306 — $471 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $87 | $281 — $432 |
| CA — REDDING | $83 | $264 — $406 |
| CA — REST OF CALIFORNIA | $83 | $264 — $406 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $85 | $266 — $409 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $86 | $277 — $427 |
| CA — SALINAS | $86 | $276 — $425 |
Frequently Asked Questions
How much does Facet joint injection, cervical/thoracic cost?
The Medicare facility rate is $94. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $904. Ambulatory surgery center rate: $486.
How much does Facet joint injection, cervical/thoracic cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $94.