How much does Medicare pay for CPT 95717?

Medicare allowed an average of $106.45 per service and paid $83.35 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $444.73, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95717?

Measurement of brain wave activity (eeg), 2-12 hours with health care professional review and report. It was billed 4,963 times to 4,464 Medicare beneficiaries by 160 providers in 2024.

Does 95717 pay differently in an office than a hospital?

Yes. The allowed amount averaged $106.51 in an office setting and $106.44 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 95717 most?

Neurology, with 4,773 services from 155 clinicians. Next are Osteopathic Manipulative Medicine, Critical Care (Intensivists), Physical Medicine and Rehabilitation.

CPT 95717

Measurement of brain wave activity (eeg), 2-12 hours with health care professional review and report

$106.45Medicare-allowed amount per service, averaged across 4,963 services

Providers submitted

$444.73

Asking price, not received

Medicare allowed

$106.45

The fee schedule figure

Medicare paid

$83.35

Balance is patient coinsurance

Providers submitted an average of $444.73 for this code and Medicare allowed $106.45 — 4.2× 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 $83.35 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $106.51
Hospital / facility: $106.44

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 235 services were billed in an office setting and 4,728 in a facility.

Services: 4,963
Beneficiaries: 4,464
Providers billing it: 160
Total allowed: $528,311

What Medicare pays for CPT 95717

Across 4,963 services billed by 160 providers to 4,464 beneficiaries, Medicare allowed an average of $106.45 per service. 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 95717

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	4,773	4,297	$106.55	155
Osteopathic Manipulative Medicine	108	100	$103.53	1
Critical Care (Intensivists)	42	27	$105.54	1
Physical Medicine and Rehabilitation	28	28	$100.48	2
Pediatric Medicine	12	12	$107.62	1

95717 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
California	936	$113.40	$79.34	30
New Jersey	432	$108.52	$79.85	8
Maryland	412	$105.17	$80.23	8
Connecticut	363	$108.04	$80.67	8
Washington	351	$104.83	$80.51	9
Pennsylvania	338	$99.86	$79.88	9
Missouri	298	$99.73	$80.26	6
New York	257	$117.64	$80.55	10
Ohio	166	$104.57	$80.48	5
Florida	160	$104.17	$81.57	6
Illinois	155	$103.18	$79.67	4
Texas	146	$102.23	$81.51	9
Massachusetts	110	$109.42	$78.15	6
Utah	108	$103.53	$80.71	1
Colorado	78	$102.17	$80.31	4
Minnesota	69	$100.60	$78.20	3
Wisconsin	57	$99.63	$81.24	4
Montana	56	$102.47	$79.97	3
New Mexico	54	$105.01	$81.26	4
Arkansas	45	$99.52	$78.57	1
Oklahoma	44	$98.58	$79.54	1
Kansas	42	$100.95	$79.43	3
Louisiana	36	$94.55	$82.63	2
Delaware	33	$103.32	$79.56	2
Tennessee	32	$98.34	$82.28	1
Arizona	27	$100.24	$78.12	2
Michigan	26	$100.19	$80.32	2
Georgia	25	$107.57	$81.31	1
Kentucky	19	$100.37	$81.47	1
Nevada	17	$101.51	$81.52	1
District of Columbia	13	$113.24	$81.68	1
North Dakota	12	$100.43	$80.66	1
Rhode Island	12	$104.27	$76.88	1
Virginia	12	$102.81	$81.38	1
Oregon	11	$105.01	$81.69	1
South Carolina	11	$99.51	$78.77	1

Related codes

95720Measurement of brain wave activity$206.05
95718Measurement of brain wave activity$133.06
95715Measurement of brain wave activity$979.19
95700Measurement of brain wave activity (eeg)$249.73
95708Measurement of brain wave activity (eeg)$218.43
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.