How much does Medicare pay for CPT 95909?

Medicare allowed an average of $117.92 per service and paid $88.87 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $465.02, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95909?

Nerve conduction, 5-6 studies. It was billed 86,199 times to 84,960 Medicare beneficiaries by 2,626 providers in 2024.

Does 95909 pay differently in an office than a hospital?

Yes. The allowed amount averaged $126.33 in an office setting and $75.69 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 95909 most?

Neurology, with 46,190 services from 1,511 clinicians. Next are Physical Medicine and Rehabilitation, Physical Therapist in Private Practice, Pain Management.

CPT 95909

Nerve conduction, 5-6 studies

$117.92Medicare-allowed amount per service, averaged across 86,199 services

Providers submitted

$465.02

Asking price, not received

Medicare allowed

$117.92

The fee schedule figure

Medicare paid

$88.87

Balance is patient coinsurance

Providers submitted an average of $465.02 for this code and Medicare allowed $117.92 — 3.9× 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 $88.87 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $126.33
Hospital / facility: $75.69

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. 71,885 services were billed in an office setting and 14,314 in a facility.

Services: 86,199
Beneficiaries: 84,960
Providers billing it: 2,626
Total allowed: $10,164,586

What Medicare pays for CPT 95909

Across 86,199 services billed by 2,626 providers to 84,960 beneficiaries, Medicare allowed an average of $117.92 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 95909

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	46,190	45,738	$115.54	1,511
Physical Medicine and Rehabilitation	34,739	34,273	$120.93	960
Physical Therapist in Private Practice	2,108	2,092	$121.26	48
Pain Management	838	816	$122.58	24
Family Practice	421	151	$123.90	5
Orthopedic Surgery	396	393	$123.01	18
Interventional Pain Management	307	304	$125.39	11
Hand Surgery	140	140	$122.09	7
Neuropsychiatry	138	136	$97.08	5
Sports Medicine	131	131	$124.11	6
Internal Medicine	121	120	$129.25	5
Audiologist	107	107	$78.71	1
Osteopathic Manipulative Medicine	93	92	$97.25	3
Independent Diagnostic Testing Facility (IDTF)	78	78	$63.58	2
Sleep Medicine	76	74	$110.63	4

95909 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	6,475	$121.14	$93.49	148
Texas	4,967	$115.62	$91.58	153
California	4,756	$136.19	$94.16	140
Pennsylvania	4,703	$117.51	$90.20	136
Ohio	4,470	$105.71	$82.50	153
Virginia	3,727	$118.93	$88.21	95
Illinois	3,581	$113.51	$85.16	111
Michigan	3,137	$116.64	$89.25	111
Indiana	2,863	$114.70	$91.26	92
North Carolina	2,858	$117.60	$92.10	97
South Carolina	2,637	$120.78	$94.86	57
New York	2,540	$128.11	$91.70	88
Minnesota	2,327	$126.76	$94.49	70
Massachusetts	2,301	$111.93	$78.72	79
Tennessee	2,130	$116.64	$96.30	56
Arizona	2,119	$123.50	$93.56	60
New Jersey	2,080	$139.46	$98.28	77
Missouri	2,039	$98.51	$76.36	62
Georgia	1,894	$117.76	$94.61	76
Washington	1,615	$113.40	$80.52	63
Maryland	1,563	$135.57	$96.53	45
Iowa	1,516	$112.50	$89.78	30
Oklahoma	1,470	$106.95	$88.86	32
Wisconsin	1,468	$106.82	$82.79	63
Colorado	1,379	$127.38	$94.73	58
Kentucky	1,298	$100.68	$80.62	43
Louisiana	1,195	$115.15	$96.42	34
Oregon	1,059	$126.86	$94.23	37
Alabama	875	$116.26	$94.34	30
Connecticut	852	$127.93	$90.75	31
Arkansas	832	$111.71	$95.37	18
Montana	761	$108.38	$80.32	15
Nevada	748	$121.33	$93.75	20
Kansas	740	$119.07	$95.62	25
Delaware	731	$129.92	$98.97	13
Utah	664	$110.80	$86.10	26
New Mexico	641	$110.81	$88.40	12
Idaho	622	$87.04	$65.88	16
New Hampshire	519	$108.07	$79.12	22
Nebraska	510	$116.48	$96.11	22
Wyoming	488	$126.39	$97.43	7
West Virginia	453	$108.74	$85.25	15
Alaska	425	$152.24	$95.15	14
Rhode Island	370	$132.39	$99.33	10
South Dakota	367	$106.93	$79.51	11
Maine	355	$86.92	$66.10	10
North Dakota	330	$77.36	$57.50	12
Mississippi	291	$110.87	$93.90	11
Vermont	260	$84.20	$62.82	11
Hawaii	130	$127.06	$94.12	5
District of Columbia	53	$139.83	$103.46	3
Puerto Rico	15	$130.90	$104.68	1

Related codes

95911Nerve conduction$197.67
95910Nerve conduction$157.37
95938Placement of skin electrodes and measurement of stimulated sites on ar$55.24
95923Testing of autonomic (sympathetic) nervous system function$121.40
95992Repositioning exercises of head for treatment of dizziness$41.72
95913Nerve conduction$267.08
95912Nerve conduction$234.05
95921Testing of autonomic nervous system function and heart rate response t$87.65
95939Placement of skin electrodes and measurement of central motor stimulat$122.96
95984Electronic analysis of implanted brain$41.14
95983Electronic analysis of implanted brain$46.17
95955Measurement of brain wave activity (eeg) outside the brain during surg$52.03

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.