How much does Medicare pay for CPT 95700?

Medicare allowed an average of $249.73 per service and paid $195.23 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1505.76, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95700?

Measurement of brain wave activity (eeg), continuous. It was billed 15,045 times to 12,752 Medicare beneficiaries by 290 providers in 2024.

Does 95700 pay differently in an office than a hospital?

Yes. The allowed amount averaged $249.58 in an office setting and $263.59 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 95700 most?

Neurology, with 8,609 services from 247 clinicians. Next are Independent Diagnostic Testing Facility (IDTF), Nurse Practitioner, Epileptologists.

CPT 95700

Measurement of brain wave activity (eeg), continuous

$249.73Medicare-allowed amount per service, averaged across 15,045 services

Providers submitted

$1505.76

Asking price, not received

Medicare allowed

$249.73

The fee schedule figure

Medicare paid

$195.23

Balance is patient coinsurance

Providers submitted an average of $1505.76 for this code and Medicare allowed $249.73 — 6.0× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $195.23 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $249.58
Hospital / facility: $263.59

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 14,877 services were billed in an office setting and 168 in a facility.

Services: 15,045
Beneficiaries: 12,752
Providers billing it: 290
Total allowed: $3,757,188

What Medicare pays for CPT 95700

Across 15,045 services billed by 290 providers to 12,752 beneficiaries, Medicare allowed an average of $249.73 per service. That is 1.2 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 95700

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	8,609	7,628	$256.27	247
Independent Diagnostic Testing Facility (IDTF)	4,857	4,802	$250.41	33
Nurse Practitioner	1,259	16	$202.83	1
Epileptologists	132	125	$238.79	2
Psychiatry	89	85	$254.77	3
Nephrology	44	42	$255.06	1
Neurosurgery	22	21	$271.44	1
Family Practice	21	21	$254.98	1
Physician Assistant	12	12	$218.63	1

95700 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Texas	3,977	$253.13	$197.46	53
California	2,018	$274.07	$225.41	21
Nevada	1,765	$215.10	$173.36	10
Florida	1,548	$255.34	$198.28	31
New York	1,450	$263.43	$204.78	40
Arizona	861	$241.76	$194.87	29
New Jersey	834	$254.43	$202.08	27
Oklahoma	288	$249.75	$197.76	5
Illinois	272	$237.96	$186.55	3
Mississippi	228	$253.15	$200.48	2
Maryland	180	$261.65	$201.86	9
Pennsylvania	170	$262.69	$203.15	5
Minnesota	158	$220.61	$168.58	6
North Carolina	135	$221.60	$176.05	5
Indiana	125	$216.15	$172.46	3
Massachusetts	122	$238.17	$182.65	4
Wisconsin	117	$205.28	$166.43	2
Virginia	109	$245.90	$199.53	4
Colorado	91	$255.08	$193.63	3
Tennessee	79	$228.15	$185.32	4
Michigan	78	$175.64	$139.55	4
Washington	71	$267.42	$203.61	2
Ohio	65	$220.85	$172.85	4
Arkansas	61	$271.75	$202.81	2
South Carolina	54	$217.84	$179.64	3
District of Columbia	48	$257.39	$203.10	1
Utah	29	$237.92	$186.51	1
Delaware	24	$245.37	$205.46	1
Iowa	20	$218.26	$173.90	1
Kentucky	16	$225.97	$180.04	1
Rhode Island	14	$231.18	$180.97	1
Puerto Rico	14	$233.95	$197.31	1
Connecticut	12	$218.63	$158.10	1
Hawaii	12	$298.11	$234.47	1

Related codes

95720Measurement of brain wave activity$206.05
95718Measurement of brain wave activity$133.06
95715Measurement of brain wave activity$979.19
95708Measurement of brain wave activity (eeg)$218.43
95717Measurement of brain wave activity (eeg)$106.45
95716Measurement of brain wave activity$1217.54
95719Measurement of brain wave activity (eeg)$162.59
95724Measurement of brain wave activity$307.92
95713Measurement of brain wave activity$567.17
95714Measurement of brain wave activity$239.19
95709Measurement of brain wave activity (eeg)$791.85
95723Measurement of brain wave activity (eeg)$249.20

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.