How much does Medicare pay for CPT 95886?

Medicare allowed an average of $86.76 per service and paid $67.96 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $295.01, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95886?

Needle measurement of electrical activity in arm or leg muscles, complete study. It was billed 822,155 times to 479,259 Medicare beneficiaries by 6,466 providers in 2024.

Does 95886 pay differently in an office than a hospital?

Yes. The allowed amount averaged $93.30 in an office setting and $43.41 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 95886 most?

Neurology, with 500,030 services from 3,849 clinicians. Next are Physical Medicine and Rehabilitation, Physical Therapist in Private Practice, Independent Diagnostic Testing Facility (IDTF).

CPT 95886

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

$86.76Medicare-allowed amount per service, averaged across 822,155 services

Providers submitted

$295.01

Asking price, not received

Medicare allowed

$86.76

The fee schedule figure

Medicare paid

$67.96

Balance is patient coinsurance

Providers submitted an average of $295.01 for this code and Medicare allowed $86.76 — 3.4× 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 $67.96 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $93.30
Hospital / facility: $43.41

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. 714,367 services were billed in an office setting and 107,788 in a facility.

Services: 822,155
Beneficiaries: 479,259
Providers billing it: 6,466
Total allowed: $71,330,168

What Medicare pays for CPT 95886

Across 822,155 services billed by 6,466 providers to 479,259 beneficiaries, Medicare allowed an average of $86.76 per service. That is 1.7 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 95886

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	500,030	286,050	$85.61	3,849
Physical Medicine and Rehabilitation	249,836	155,315	$87.43	2,003
Physical Therapist in Private Practice	20,386	11,642	$86.43	119
Independent Diagnostic Testing Facility (IDTF)	11,947	4,137	$103.82	13
Pain Management	7,114	4,302	$91.37	93
Orthopedic Surgery	4,427	2,841	$90.04	100
Internal Medicine	3,707	1,744	$99.17	45
Interventional Pain Management	3,568	2,137	$92.48	45
Neurosurgery	2,487	1,500	$83.98	36
Dermatology	1,948	571	$107.66	1
Osteopathic Manipulative Medicine	1,818	884	$100.01	6
General Practice	1,748	802	$103.80	5
Neuropsychiatry	1,626	1,052	$67.14	17
Hand Surgery	1,625	972	$97.80	20
Family Practice	1,541	720	$97.69	20

95886 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	88,113	$101.16	$71.15	558
New York	80,255	$101.49	$73.20	556
Florida	61,022	$94.01	$76.90	421
Texas	59,912	$84.77	$71.68	449
Pennsylvania	35,476	$77.84	$65.84	323
Illinois	31,287	$77.00	$62.79	248
Ohio	30,935	$69.92	$57.38	253
New Jersey	28,877	$100.87	$77.41	267
Michigan	25,517	$81.97	$66.04	287
Arizona	24,762	$87.96	$71.95	138
Virginia	22,772	$86.13	$66.23	164
Maryland	22,059	$98.21	$73.86	128
North Carolina	19,116	$84.82	$71.53	194
Tennessee	18,870	$79.35	$69.56	122
Massachusetts	18,252	$81.18	$59.67	155
Georgia	16,250	$83.45	$72.74	222
Nevada	15,680	$87.48	$72.43	53
Indiana	15,238	$77.43	$64.35	143
South Carolina	14,060	$82.96	$71.65	108
Washington	12,646	$84.31	$63.26	121
Missouri	12,639	$65.51	$54.25	117
Louisiana	12,452	$82.18	$72.17	89
Minnesota	11,583	$82.97	$64.35	122
Colorado	10,329	$91.25	$72.35	116
Alabama	10,182	$75.21	$69.33	92
Kentucky	10,054	$69.73	$58.77	83
Oklahoma	9,076	$75.29	$67.58	51
Wisconsin	9,045	$70.17	$56.34	121
Kansas	8,323	$83.96	$69.48	48
Oregon	8,023	$88.06	$69.68	75
Arkansas	7,966	$72.60	$65.69	39
Mississippi	7,889	$73.55	$72.98	42
Connecticut	6,026	$95.51	$69.77	80
Iowa	5,780	$81.12	$67.03	44
Utah	5,761	$82.66	$67.38	63
Nebraska	5,094	$72.66	$59.91	38
South Dakota	4,926	$63.21	$50.09	22
Delaware	4,815	$86.49	$71.59	21
West Virginia	4,546	$71.09	$62.32	33
New Mexico	3,292	$79.23	$67.95	25
Idaho	3,235	$56.59	$48.62	34
Montana	3,031	$69.38	$53.45	24
New Hampshire	2,845	$75.11	$57.30	37
Maine	2,408	$54.71	$41.15	18
Wyoming	1,950	$91.17	$70.50	14
Rhode Island	1,710	$97.29	$74.93	19
Alaska	1,614	$103.77	$68.26	19
North Dakota	1,587	$46.41	$36.64	20
Hawaii	1,541	$87.02	$65.48	15
District of Columbia	1,329	$105.92	$74.69	12
Puerto Rico	939	$97.99	$72.74	8
Vermont	754	$57.17	$44.29	12
Guam	248	$109.68	$74.65	1
U.S. Virgin Islands	64	$92.27	$74.79	2

Related codes

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
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.