$163.76
Both target the brachial plexus, but 64416 is for continuous infusion through a catheter; 64415 is for a single injection.
On this page
CMS RVU26D · Effective 2026-10-01
64416 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$71.99
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Regional anesthesia
About 64416: Continuous brachial plexus catheter block
Report this service for brachial plexus catheter placement to deliver continuous anesthetic infusion, commonly for pain control after shoulder surgery.
This service places a catheter at the brachial plexus for continuous delivery of anesthetic, often to control pain after shoulder or upper-arm surgery. An anesthesiologist or other physician trained in regional anesthesia may perform it in an operating room, procedure area, or outpatient surgical setting. Imaging guidance is included when performed. The code represents the continuous catheter technique, not a one-time nerve injection.
Choose 64416 when the documented target is the brachial plexus and medication is delivered through a catheter for continuous infusion. The record should identify the nerve target, catheter placement, and continuous infusion plan; do not select it solely because a single injection is followed by pain relief. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Modifier 50 for a bilateral service is paid at 150%. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 64416
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.76 · 81%
- Practice expense (office) RVU0.26 · 12%
- Malpractice RVU0.15 · 7%
11.6K
Medicare services in 2024 · #1395 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
64416 compared with similar codes
Office rates for Modesto, from the same CMS release.
$198.09
64417 targets the axillary nerve. Use 64416 when the documented target is the brachial plexus and a continuous catheter infusion is placed.
No office rate
Both describe continuous catheter infusion, but 64446 targets the sciatic nerve rather than the brachial plexus.
The same code, a different location
How does Modesto compare?
64416 across payment areas
Same release and payment basis · bars start at $0
Modesto · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 64416
Office
Unavailable
Facility
$71.99
No comparable office rate is available.
Merced
California · 64416
Office
Unavailable
Facility
$71.99
No comparable office rate is available.
Napa
California · 64416
Office
Unavailable
Facility
$76.48
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 64416
Office
Unavailable
Facility
$73.82
No comparable office rate is available.
Redding
California · 64416
Office
Unavailable
Facility
$71.99
No comparable office rate is available.
Rest Of California
California · 64416
Office
Unavailable
Facility
$71.99
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 64416
Office
Unavailable
Facility
$73.64
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 64416
Office
Unavailable
Facility
$73.69
No comparable office rate is available.
Salinas
California · 64416
Office
Unavailable
Facility
$73.36
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 64416
Office
Unavailable
Facility
$73.65
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 64416
Office
Unavailable
Facility
$78.91
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 64416
Office
Unavailable
Facility
$78.74
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 64416
Office
Unavailable
Facility
$80.46
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 64416
Office
Unavailable
Facility
$79.76
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 64416
Office
Unavailable
Facility
$72.36
No comparable office rate is available.
Santa Cruz-Watsonville
California · 64416
Office
Unavailable
Facility
$73.26
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 64416
Office
Unavailable
Facility
$73.24
No comparable office rate is available.
Santa Rosa-Petaluma
California · 64416
Office
Unavailable
Facility
$73.90
No comparable office rate is available.
Stockton
California · 64416
Office
Unavailable
Facility
$71.99
No comparable office rate is available.
Vallejo
California · 64416
Office
Unavailable
Facility
$76.23
No comparable office rate is available.
Visalia
California · 64416
Office
Unavailable
Facility
$71.99
No comparable office rate is available.
Yuba City
California · 64416
Office
Unavailable
Facility
$71.99
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 64416
Office
Unavailable
Facility
$77.77
No comparable office rate is available.
Miami
Florida · 64416
Office
Unavailable
Facility
$80.50
No comparable office rate is available.
Chicago
Illinois · 64416
Office
Unavailable
Facility
$79.42
No comparable office rate is available.
Manhattan
New York · 64416
Office
Unavailable
Facility
$80.59
No comparable office rate is available.
Alaska*
Alaska · 64416
Office
Unavailable
Facility
$100.19
No comparable office rate is available.
Alabama
Alabama · 64416
Office
Unavailable
Facility
$69.22
No comparable office rate is available.
Arkansas
Arkansas · 64416
Office
Unavailable
Facility
$68.83
No comparable office rate is available.
Arizona
Arizona · 64416
Office
Unavailable
Facility
$71.49
No comparable office rate is available.
Colorado
Colorado · 64416
Office
Unavailable
Facility
$72.64
No comparable office rate is available.
Connecticut
Connecticut · 64416
Office
Unavailable
Facility
$75.38
No comparable office rate is available.
Delaware
Delaware · 64416
Office
Unavailable
Facility
$72.16
No comparable office rate is available.
Fort Lauderdale
Florida · 64416
Office
Unavailable
Facility
$76.64
No comparable office rate is available.
Rest Of Florida
Florida · 64416
Office
Unavailable
Facility
$74.62
No comparable office rate is available.
Atlanta
Georgia · 64416
Office
Unavailable
Facility
$73.80
No comparable office rate is available.
Rest Of Georgia
Georgia · 64416
Office
Unavailable
Facility
$72.50
No comparable office rate is available.
Hawaii, Guam
Hawaii · 64416
Office
Unavailable
Facility
$71.56
No comparable office rate is available.
Iowa
Iowa · 64416
Office
Unavailable
Facility
$68.72
No comparable office rate is available.
Idaho
Idaho · 64416
Office
Unavailable
Facility
$69.14
No comparable office rate is available.
East St. Louis
Illinois · 64416
Office
Unavailable
Facility
$76.87
No comparable office rate is available.
Rest Of Illinois
Illinois · 64416
Office
Unavailable
Facility
$74.55
No comparable office rate is available.
Suburban Chicago
Illinois · 64416
Office
Unavailable
Facility
$76.99
No comparable office rate is available.
Indiana
Indiana · 64416
Office
Unavailable
Facility
$69.27
No comparable office rate is available.
Kansas
Kansas · 64416
Office
Unavailable
Facility
$69.16
No comparable office rate is available.
Kentucky
Kentucky · 64416
Office
Unavailable
Facility
$71.09
No comparable office rate is available.
New Orleans
Louisiana · 64416
Office
Unavailable
Facility
$72.65
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 64416
Office
Unavailable
Facility
$71.27
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 64416
Office
Unavailable
Facility
$76.02
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 64416
Office
Unavailable
Facility
$72.86
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 64416
Office
Unavailable
Facility
$75.24
No comparable office rate is available.
Rest Of Maryland
Maryland · 64416
Office
Unavailable
Facility
$72.76
No comparable office rate is available.
Rest Of Maine
Maine · 64416
Office
Unavailable
Facility
$69.89
No comparable office rate is available.
Southern Maine
Maine · 64416
Office
Unavailable
Facility
$70.55
No comparable office rate is available.
Detroit
Michigan · 64416
Office
Unavailable
Facility
$75.61
No comparable office rate is available.
Rest Of Michigan
Michigan · 64416
Office
Unavailable
Facility
$72.37
No comparable office rate is available.
Minnesota
Minnesota · 64416
Office
Unavailable
Facility
$69.20
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 64416
Office
Unavailable
Facility
$71.83
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 64416
Office
Unavailable
Facility
$72.07
No comparable office rate is available.
Rest Of Missouri
Missouri · 64416
Office
Unavailable
Facility
$71.15
No comparable office rate is available.
Mississippi
Mississippi · 64416
Office
Unavailable
Facility
$69.97
No comparable office rate is available.
Montana**
Montana · 64416
Office
Unavailable
Facility
$72.47
No comparable office rate is available.
North Carolina
North Carolina · 64416
Office
Unavailable
Facility
$70.09
No comparable office rate is available.
North Dakota**
North Dakota · 64416
Office
Unavailable
Facility
$69.50
No comparable office rate is available.
Nebraska
Nebraska · 64416
Office
Unavailable
Facility
$68.69
No comparable office rate is available.
New Hampshire
New Hampshire · 64416
Office
Unavailable
Facility
$72.21
No comparable office rate is available.
Northern Nj
New Jersey · 64416
Office
Unavailable
Facility
$77.91
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 64416
Office
Unavailable
Facility
$76.12
No comparable office rate is available.
New Mexico
New Mexico · 64416
Office
Unavailable
Facility
$72.77
No comparable office rate is available.
Nevada**
Nevada · 64416
Office
Unavailable
Facility
$71.65
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 64416
Office
Unavailable
Facility
$82.18
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 64416
Office
Unavailable
Facility
$77.00
No comparable office rate is available.
Queens
New York · 64416
Office
Unavailable
Facility
$80.04
No comparable office rate is available.
Rest Of New York
New York · 64416
Office
Unavailable
Facility
$70.56
No comparable office rate is available.
Ohio
Ohio · 64416
Office
Unavailable
Facility
$71.76
No comparable office rate is available.
Oklahoma
Oklahoma · 64416
Office
Unavailable
Facility
$70.43
No comparable office rate is available.
Portland
Oregon · 64416
Office
Unavailable
Facility
$73.10
No comparable office rate is available.
Rest Of Oregon
Oregon · 64416
Office
Unavailable
Facility
$70.96
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 64416
Office
Unavailable
Facility
$74.86
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 64416
Office
Unavailable
Facility
$71.49
No comparable office rate is available.
Puerto Rico
Puerto Rico · 64416
Office
Unavailable
Facility
$72.50
No comparable office rate is available.
Rhode Island
Rhode Island · 64416
Office
Unavailable
Facility
$73.34
No comparable office rate is available.
South Carolina
South Carolina · 64416
Office
Unavailable
Facility
$71.07
No comparable office rate is available.
South Dakota**
South Dakota · 64416
Office
Unavailable
Facility
$69.15
No comparable office rate is available.
Tennessee
Tennessee · 64416
Office
Unavailable
Facility
$69.37
No comparable office rate is available.
Austin
Texas · 64416
Office
Unavailable
Facility
$72.53
No comparable office rate is available.
Beaumont
Texas · 64416
Office
Unavailable
Facility
$71.34
No comparable office rate is available.
Brazoria
Texas · 64416
Office
Unavailable
Facility
$71.77
No comparable office rate is available.
Dallas
Texas · 64416
Office
Unavailable
Facility
$72.26
No comparable office rate is available.
Fort Worth
Texas · 64416
Office
Unavailable
Facility
$72.24
No comparable office rate is available.
Galveston
Texas · 64416
Office
Unavailable
Facility
$72.03
No comparable office rate is available.
Houston
Texas · 64416
Office
Unavailable
Facility
$74.77
No comparable office rate is available.
Rest Of Texas
Texas · 64416
Office
Unavailable
Facility
$71.55
No comparable office rate is available.
Utah
Utah · 64416
Office
Unavailable
Facility
$71.45
No comparable office rate is available.
Virginia
Virginia · 64416
Office
Unavailable
Facility
$70.86
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 64416
Office
Unavailable
Facility
$72.50
No comparable office rate is available.
Vermont
Vermont · 64416
Office
Unavailable
Facility
$69.92
No comparable office rate is available.
Rest Of Washington
Washington · 64416
Office
Unavailable
Facility
$72.51
No comparable office rate is available.
Seattle (King Cnty)
Washington · 64416
Office
Unavailable
Facility
$76.47
No comparable office rate is available.
Wisconsin
Wisconsin · 64416
Office
Unavailable
Facility
$68.65
No comparable office rate is available.
West Virginia
West Virginia · 64416
Office
Unavailable
Facility
$73.50
No comparable office rate is available.
Wyoming**
Wyoming · 64416
Office
Unavailable
Facility
$71.18
No comparable office rate is available.
See how rates vary across the country
64416 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 64416 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$79.19
$71.99 × 110% = $79.19
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 64416 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
7,100
- Code
- 64416
- Physician work
- 1.76
- Practice expense
- 0.26
- Malpractice
- 0.15
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.76 | × 1.017 | 1.7899 |
| Practice expense | 0.26 | × 1.096 | 0.2850 |
| Malpractice | 0.15 | × 0.536 | 0.0804 |
| Total RVUs | 2.1553 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$71.99
Open 64416 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.76 | 1.017 |
| Practice expense | 0.26 | 1.096 |
| Malpractice | 0.15 | 0.536 |
(1.76 × 1.017 + 0.26 × 1.096 + 0.15 × 0.536) × $33.4009 = $71.99
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
64416 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $71.99 | RVU26D |
| 2026-07-01 | Not available in this setting | $71.99 | RVU26C |
| 2026-04-01 | Not available in this setting | $71.99 | RVU26B |
| 2026-01-01 | Not available in this setting | $71.99 | RVU26A |
| 2025-10-01 | Not available in this setting | $73.96 | RVU25D |
| 2025-07-01 | Not available in this setting | $73.96 | RVU25C |
| 2025-04-01 | Not available in this setting | $73.96 | RVU25B |
| 2025-01-01 | Not available in this setting | $73.96 | RVU25A |
64416 billing questions
How is 64416 different from 64415?
64416 describes a brachial plexus catheter for continuous infusion. Use 64415 for a single injection rather than continuous catheter delivery.
Is imaging guidance separately reported?
Imaging guidance is included in 64416 when performed. The code does not require that imaging be used.
Can the catheter placement and a single-shot block both be reported?
The documentation must support distinct services. A catheter placement for continuous infusion is not converted into a separate single-shot service merely because medication is injected during placement.
How should bilateral services be reported?
For a bilateral procedure, report modifier 50; CMS pays the service at 150% under the stated bilateral rule.
Does the code cover postoperative catheter management on later days?
The code identifies catheter placement for continuous infusion, and its 0-day global period includes same-day preoperative and postoperative care. Document any later-day service separately according to the service actually performed.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,09764405,,Njx aa&/strd gr ocpl nrv,A,,0.92,1.23,,0.25,,0.21,2.36,1.38,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,09864408,,Njx aa&/strd vagus nrv,A,,0.73,1.55,,0.32,,0.11,2.39,1.16,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,09964415,,Njx aa&/strd brch plxs img,A,,1.46,3.06,,0.41,,0.12,4.64,1.99,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,10064416,,Njx aa&/strd brch pl nfs img,A,,1.76,0.26,NA,0.26,,0.15,2.17,2.17,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,10164417,,Njx aa&/strd ax nerve img,A,,1.28,4.16,,0.43,,0.13,5.57,1.84,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,10264418,,Njx aa&/strd sprscap nrv,A,,1.07,1.51,,0.26,,0.11,2.69,1.44,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,10364420,,Njx aa&/strd ntrcost nrv 1,A,,1.05,2.03,,0.43,,0.09,3.17,1.57,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536