How much does Medicare pay for CPT 95885?

Medicare allowed an average of $46.74 per service and paid $36.53 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $194.53, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95885?

Needle measurement of electrical activity in arm or leg muscles, limited study. It was billed 103,380 times to 70,088 Medicare beneficiaries by 1,864 providers in 2024.

Does 95885 pay differently in an office than a hospital?

Yes. The allowed amount averaged $57.11 in an office setting and $17.99 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 95885 most?

Neurology, with 79,550 services from 1,369 clinicians. Next are Physical Medicine and Rehabilitation, Physical Therapist in Private Practice, Interventional Pain Management.

CPT 95885

Needle measurement of electrical activity in arm or leg muscles, limited study

$46.74Medicare-allowed amount per service, averaged across 103,380 services

Providers submitted

$194.53

Asking price, not received

Medicare allowed

$46.74

The fee schedule figure

Medicare paid

$36.53

Balance is patient coinsurance

Providers submitted an average of $194.53 for this code and Medicare allowed $46.74 — 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 $36.53 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $57.11
Hospital / facility: $17.99

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. 75,982 services were billed in an office setting and 27,398 in a facility.

Services: 103,380
Beneficiaries: 70,088
Providers billing it: 1,864
Total allowed: $4,831,981

What Medicare pays for CPT 95885

Across 103,380 services billed by 1,864 providers to 70,088 beneficiaries, Medicare allowed an average of $46.74 per service. That is 1.5 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 95885

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	79,550	53,360	$46.05	1,369
Physical Medicine and Rehabilitation	18,122	12,864	$49.31	376
Physical Therapist in Private Practice	1,077	837	$54.69	23
Interventional Pain Management	803	517	$58.40	12
Pain Management	669	438	$62.02	17
Neuropsychiatry	434	289	$23.64	10
Orthopedic Surgery	429	321	$49.77	17
Independent Diagnostic Testing Facility (IDTF)	344	164	$54.44	1
Audiologist	318	159	$19.11	1
Neurosurgery	316	236	$52.92	8
Internal Medicine	282	164	$51.85	5
Osteopathic Manipulative Medicine	192	97	$17.80	1
Sleep Medicine	166	134	$47.94	3
Psychiatry	165	119	$35.85	4
Sports Medicine	107	81	$46.15	4

95885 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
Florida	9,994	$54.25	$46.27	133
California	7,975	$54.34	$37.82	128
New York	6,942	$55.23	$38.44	124
Texas	6,795	$47.15	$39.55	117
North Carolina	3,959	$42.87	$36.22	75
Massachusetts	3,912	$34.30	$24.95	82
Minnesota	3,897	$55.65	$41.99	54
Virginia	3,826	$38.13	$29.87	65
Georgia	3,650	$53.50	$47.29	90
Pennsylvania	3,594	$41.84	$35.36	88
Arizona	3,462	$53.30	$42.92	47
Maryland	3,294	$45.05	$33.18	50
South Carolina	2,713	$51.63	$44.42	33
New Jersey	2,585	$63.57	$47.34	48
Illinois	2,426	$33.71	$26.74	61
Missouri	2,393	$34.87	$28.42	42
Michigan	2,332	$46.01	$37.20	47
Ohio	2,134	$26.03	$21.43	57
Alabama	2,126	$48.81	$44.04	33
Tennessee	2,100	$42.64	$37.40	42
Washington	2,039	$47.87	$35.51	45
Kentucky	1,678	$42.86	$37.94	22
Wisconsin	1,641	$32.81	$26.07	40
Indiana	1,493	$47.55	$39.42	36
Colorado	1,295	$51.11	$42.85	35
Utah	1,270	$31.28	$24.99	21
Arkansas	1,159	$52.54	$45.89	14
Iowa	1,129	$29.13	$24.72	20
Connecticut	1,060	$43.96	$31.78	22
Oregon	982	$52.98	$40.99	25
Mississippi	951	$45.42	$42.42	9
Oklahoma	941	$50.19	$44.30	10
Louisiana	737	$33.13	$30.83	14
New Hampshire	599	$25.62	$19.17	11
Kansas	585	$28.75	$23.65	11
Montana	549	$49.11	$37.99	8
Alaska	515	$51.40	$34.13	5
Idaho	507	$39.16	$31.07	6
West Virginia	487	$32.47	$27.24	12
Nebraska	486	$39.48	$33.13	15
North Dakota	445	$19.96	$14.60	9
South Dakota	413	$48.98	$39.91	6
Nevada	412	$57.13	$45.10	3
Rhode Island	397	$54.63	$41.73	7
Vermont	330	$17.46	$13.78	8
District of Columbia	233	$55.45	$37.62	6
New Mexico	229	$35.76	$30.69	8
Maine	222	$17.91	$13.17	7
Delaware	217	$56.00	$43.35	4
Wyoming	114	$60.96	$47.28	3
Hawaii	96	$60.17	$43.85	4
U.S. Virgin Islands	32	$57.52	$48.08	1
Puerto Rico	28	$60.43	$46.34	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
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
95812Measurement of brain wave activity (eeg)$191.83

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.