How much does Medicare pay for CPT 95851?

Medicare allowed an average of $20.66 per service and paid $16.10 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $140.54, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95851?

Measurement of range of motion in arm, leg or each spine section. It was billed 13,925 times to 3,607 Medicare beneficiaries by 96 providers in 2024.

Which specialty bills 95851 most?

Nurse Practitioner, with 5,408 services from 27 clinicians. Next are Physical Therapist in Private Practice, Physical Medicine and Rehabilitation, Physician Assistant.

CPT 95851

Measurement of range of motion in arm, leg or each spine section

$20.66Medicare-allowed amount per service, averaged across 13,925 services

Providers submitted

$140.54

Asking price, not received

Medicare allowed

$20.66

The fee schedule figure

Medicare paid

$16.10

Balance is patient coinsurance

Providers submitted an average of $140.54 for this code and Medicare allowed $20.66 — 6.8× 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 $16.10 (78%); the rest is the patient’s coinsurance and deductible.

Services: 13,925
Beneficiaries: 3,607
Providers billing it: 96
Total allowed: $287,691

What Medicare pays for CPT 95851

Across 13,925 services billed by 96 providers to 3,607 beneficiaries, Medicare allowed an average of $20.66 per service. That is 3.9 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 95851

Specialty	Services	Beneficiaries	Avg allowed	Providers
Nurse Practitioner	5,408	977	$19.45	27
Physical Therapist in Private Practice	2,873	1,221	$20.18	39
Physical Medicine and Rehabilitation	2,016	537	$23.13	6
Physician Assistant	1,314	298	$20.55	6
Family Practice	1,136	61	$19.27	3
Orthopedic Surgery	783	388	$25.37	10
Interventional Pain Management	171	48	$23.12	1
Osteopathic Manipulative Medicine	144	34	$24.12	1
Podiatry	80	43	$21.12	3

95851 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
New Jersey	4,130	$22.29	$15.85	16
New York	2,952	$21.44	$14.37	11
Alabama	1,064	$19.03	$16.74	2
California	901	$24.71	$16.17	11
Pennsylvania	775	$18.99	$14.45	5
Nebraska	468	$18.58	$15.81	4
Missouri	456	$16.50	$13.98	2
Tennessee	428	$16.57	$13.65	4
Illinois	404	$18.67	$15.16	5
Colorado	359	$18.29	$15.32	1
Maryland	327	$20.28	$14.75	4
Kansas	219	$16.62	$13.57	1
Kentucky	217	$19.30	$15.60	2
Florida	192	$17.54	$13.05	5
Texas	143	$17.67	$14.10	2
South Carolina	141	$19.61	$16.36	2
Oregon	112	$21.79	$15.91	4
Oklahoma	94	$18.99	$16.71	1
North Carolina	91	$20.00	$16.61	3
Nevada	87	$21.17	$16.91	1
Iowa	82	$16.71	$13.86	1
Arizona	81	$17.66	$14.02	1
Wisconsin	73	$19.78	$16.23	2
West Virginia	58	$16.86	$14.56	3
Georgia	39	$19.43	$16.91	1
Minnesota	17	$21.35	$16.88	1
Connecticut	15	$22.92	$15.81	1

Related codes

95886Needle measurement of electrical activity in arm or leg muscles$86.76
95816Measurement of brain wave activity (eeg)$227.96
95811Sleep study in sleep lab$314.61
95810Sleep study in sleep lab (6 years or older)$309.74
95800Sleep study including heart rate$117.17
95819Measurement of brain wave activity (eeg)$239.95
95885Needle measurement of electrical activity in arm or leg muscles$46.74
95806Sleep study including heart rate$54.06
95874Needle measurement of electrical activity in muscle$53.46
95861Needle measurement of electrical activity in arm or leg muscles$80.08
95870Needle measurement of electrical activity in arm$19.70
95813Measurement of brain wave activity (eeg)$202.49

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.