How much does Medicare pay for CPT 95911?

Medicare allowed an average of $197.67 per service and paid $151.94 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $771.79, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95911?

Nerve conduction, 9-10 studies. It was billed 144,053 times to 139,318 Medicare beneficiaries by 3,315 providers in 2024.

Does 95911 pay differently in an office than a hospital?

Yes. The allowed amount averaged $206.09 in an office setting and $126.25 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 95911 most?

Neurology, with 86,530 services from 2,070 clinicians. Next are Physical Medicine and Rehabilitation, Physical Therapist in Private Practice, Independent Diagnostic Testing Facility (IDTF).

CPT 95911

Nerve conduction, 9-10 studies

$197.67Medicare-allowed amount per service, averaged across 144,053 services

Providers submitted

$771.79

Asking price, not received

Medicare allowed

$197.67

The fee schedule figure

Medicare paid

$151.94

Balance is patient coinsurance

Providers submitted an average of $771.79 for this code and Medicare allowed $197.67 — 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 $151.94 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $206.09
Hospital / facility: $126.25

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. 128,852 services were billed in an office setting and 15,201 in a facility.

Services: 144,053
Beneficiaries: 139,318
Providers billing it: 3,315
Total allowed: $28,474,957

What Medicare pays for CPT 95911

Across 144,053 services billed by 3,315 providers to 139,318 beneficiaries, Medicare allowed an average of $197.67 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 95911

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	86,530	83,610	$195.12	2,070
Physical Medicine and Rehabilitation	43,642	42,448	$199.29	961
Physical Therapist in Private Practice	4,025	3,968	$194.96	75
Independent Diagnostic Testing Facility (IDTF)	2,278	2,222	$231.84	9
Pain Management	1,266	1,229	$202.72	42
Osteopathic Manipulative Medicine	672	619	$235.81	2
Dermatology	652	502	$233.08	1
Orthopedic Surgery	649	644	$201.32	30
Internal Medicine	633	589	$225.49	19
Neurosurgery	631	614	$188.63	18
Family Practice	571	441	$229.39	14
Interventional Pain Management	502	469	$196.97	17
Hand Surgery	412	410	$218.60	11
Critical Care (Intensivists)	216	207	$253.94	1
Neuropsychiatry	194	193	$163.93	7

95911 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 York	16,818	$224.58	$158.23	328
California	16,259	$222.68	$154.58	261
Florida	12,582	$199.86	$155.08	242
Texas	8,211	$194.50	$155.68	199
New Jersey	6,630	$224.82	$160.59	154
Pennsylvania	6,506	$180.44	$139.34	179
Illinois	5,075	$182.97	$140.82	128
Ohio	5,033	$175.40	$138.74	140
Arizona	4,015	$199.08	$154.72	84
Maryland	3,828	$212.62	$155.77	81
Virginia	3,783	$195.07	$147.99	96
South Carolina	3,640	$187.60	$149.49	64
Tennessee	3,491	$180.75	$149.39	70
Massachusetts	3,373	$188.30	$137.20	96
Michigan	3,357	$191.23	$150.24	99
Georgia	3,288	$189.67	$153.12	107
North Carolina	3,225	$186.58	$149.26	97
Alabama	2,420	$174.44	$147.51	48
Missouri	2,275	$160.26	$126.96	69
Washington	2,086	$194.62	$141.00	59
Nevada	1,931	$200.07	$158.14	23
Louisiana	1,847	$183.47	$151.48	37
Colorado	1,839	$206.43	$154.97	43
Mississippi	1,832	$173.16	$154.32	26
Kentucky	1,771	$161.37	$131.87	48
Indiana	1,664	$173.25	$140.54	54
Kansas	1,416	$181.51	$148.88	32
Utah	1,319	$193.65	$153.63	36
Oklahoma	1,313	$176.32	$148.26	29
Arkansas	1,296	$175.34	$150.04	22
Oregon	1,175	$198.56	$150.09	32
Wisconsin	1,007	$165.77	$131.41	50
Nebraska	953	$167.72	$133.04	22
Connecticut	938	$208.52	$149.97	36
West Virginia	889	$165.67	$141.66	20
Delaware	882	$195.87	$148.14	15
Minnesota	858	$190.03	$142.04	44
Iowa	784	$172.71	$140.81	22
South Dakota	717	$148.74	$114.14	12
New Mexico	706	$187.47	$151.88	14
Montana	457	$175.54	$133.58	14
Idaho	418	$160.77	$125.67	14
New Hampshire	377	$174.43	$128.96	14
Rhode Island	372	$213.12	$158.83	10
Alaska	312	$245.95	$156.99	8
Maine	266	$131.65	$99.86	8
North Dakota	237	$138.04	$110.47	8
Wyoming	223	$199.42	$144.61	5
Vermont	136	$133.87	$95.79	5
District of Columbia	118	$233.58	$162.69	5
Hawaii	58	$217.30	$151.75	3
Puerto Rico	32	$200.51	$164.58	2
U.S. Virgin Islands	15	$197.15	$164.02	1

Related codes

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
95909Nerve conduction$117.92
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.