How much does Medicare pay for CPT 95912?

Medicare allowed an average of $234.05 per service and paid $180.67 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $830.09, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95912?

Nerve conduction, 11-12 studies. It was billed 59,311 times to 57,414 Medicare beneficiaries by 1,548 providers in 2024.

Does 95912 pay differently in an office than a hospital?

Yes. The allowed amount averaged $242.64 in an office setting and $151.45 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 95912 most?

Neurology, with 37,980 services from 1,008 clinicians. Next are Physical Medicine and Rehabilitation, Independent Diagnostic Testing Facility (IDTF), Physical Therapist in Private Practice.

CPT 95912

Nerve conduction, 11-12 studies

$234.05Medicare-allowed amount per service, averaged across 59,311 services

Providers submitted

$830.09

Asking price, not received

Medicare allowed

$234.05

The fee schedule figure

Medicare paid

$180.67

Balance is patient coinsurance

Providers submitted an average of $830.09 for this code and Medicare allowed $234.05 — 3.5× 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 $180.67 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $242.64
Hospital / facility: $151.45

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. 53,728 services were billed in an office setting and 5,583 in a facility.

Services: 59,311
Beneficiaries: 57,414
Providers billing it: 1,548
Total allowed: $13,881,740

What Medicare pays for CPT 95912

Across 59,311 services billed by 1,548 providers to 57,414 beneficiaries, Medicare allowed an average of $234.05 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 95912

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	37,980	36,705	$232.00	1,008
Physical Medicine and Rehabilitation	13,845	13,494	$233.05	374
Independent Diagnostic Testing Facility (IDTF)	1,970	1,924	$266.94	9
Physical Therapist in Private Practice	1,848	1,808	$222.60	50
Podiatry	515	461	$271.62	1
Pain Management	511	497	$241.70	23
Interventional Pain Management	434	423	$246.66	12
Orthopedic Surgery	414	412	$235.64	18
Dermatology	330	283	$271.11	1
Family Practice	290	275	$253.86	6
Hand Surgery	225	223	$249.31	6
Internal Medicine	217	207	$253.92	8
Psychiatry	150	149	$213.59	4
Neurosurgery	122	122	$234.94	7
Neuropsychiatry	75	75	$184.06	4

95912 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	9,474	$259.65	$184.28	157
New York	8,355	$261.62	$183.68	188
Florida	5,357	$236.63	$185.48	127
Texas	4,400	$232.17	$185.31	117
Pennsylvania	2,005	$203.64	$157.81	79
Ohio	1,944	$189.32	$149.15	80
Maryland	1,736	$247.06	$182.17	38
New Jersey	1,691	$253.37	$186.04	35
North Carolina	1,566	$217.96	$177.26	57
Illinois	1,518	$208.04	$158.23	52
Arizona	1,479	$236.32	$184.94	32
Tennessee	1,284	$214.18	$178.33	28
Massachusetts	1,242	$209.04	$151.43	45
Michigan	1,199	$229.43	$181.44	28
Louisiana	1,144	$218.21	$187.34	17
Nevada	991	$236.39	$182.55	17
Washington	934	$236.80	$170.31	31
South Carolina	861	$218.25	$177.21	30
Georgia	825	$233.97	$184.81	26
Arkansas	734	$195.69	$175.34	10
Indiana	733	$208.69	$169.53	22
Alabama	732	$205.48	$178.04	26
Virginia	687	$231.81	$175.89	36
Oklahoma	681	$218.63	$181.85	17
Mississippi	659	$192.57	$164.01	15
Kansas	596	$228.16	$181.73	11
Delaware	554	$222.97	$180.97	9
Nebraska	537	$191.20	$152.84	9
Kentucky	519	$211.73	$173.87	21
Missouri	500	$190.52	$153.78	23
Colorado	441	$235.91	$176.98	21
Connecticut	408	$253.47	$182.27	12
Minnesota	384	$200.36	$151.54	17
West Virginia	332	$211.23	$176.50	10
Oregon	329	$230.19	$170.39	16
Iowa	298	$220.85	$178.60	7
Wisconsin	287	$200.67	$160.44	16
Utah	286	$227.07	$184.21	11
South Dakota	270	$188.67	$142.57	9
New Hampshire	234	$204.94	$155.25	10
Puerto Rico	221	$252.99	$178.56	2
New Mexico	202	$159.81	$125.87	5
Idaho	168	$186.12	$145.67	8
Montana	111	$211.07	$157.71	5
Maine	89	$245.80	$189.49	3
District of Columbia	74	$276.44	$186.73	3
Guam	67	$275.83	$183.91	1
Vermont	55	$172.21	$121.56	3
Rhode Island	40	$271.94	$169.54	2
Alaska	35	$294.81	$187.54	2
Hawaii	29	$260.13	$192.36	1
North Dakota	14	$149.30	$96.17	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
95909Nerve conduction$117.92
95992Repositioning exercises of head for treatment of dizziness$41.72
95913Nerve conduction$267.08
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.