How much does Medicare pay for CPT 95913?

Medicare allowed an average of $267.08 per service and paid $207.28 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $926.84, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95913?

Nerve conduction, 13 or more studies. It was billed 66,886 times to 63,580 Medicare beneficiaries by 1,565 providers in 2024.

Does 95913 pay differently in an office than a hospital?

Yes. The allowed amount averaged $277.97 in an office setting and $179.95 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 95913 most?

Neurology, with 46,062 services from 1,076 clinicians. Next are Physical Medicine and Rehabilitation, Physical Therapist in Private Practice, General Practice.

CPT 95913

Nerve conduction, 13 or more studies

$267.08Medicare-allowed amount per service, averaged across 66,886 services

Providers submitted

$926.84

Asking price, not received

Medicare allowed

$267.08

The fee schedule figure

Medicare paid

$207.28

Balance is patient coinsurance

Providers submitted an average of $926.84 for this code and Medicare allowed $267.08 — 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 $207.28 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $277.97
Hospital / facility: $179.95

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. 59,456 services were billed in an office setting and 7,430 in a facility.

Services: 66,886
Beneficiaries: 63,580
Providers billing it: 1,565
Total allowed: $17,863,913

What Medicare pays for CPT 95913

Across 66,886 services billed by 1,565 providers to 63,580 beneficiaries, Medicare allowed an average of $267.08 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 95913

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	46,062	43,620	$265.94	1,076
Physical Medicine and Rehabilitation	13,737	13,291	$268.20	325
Physical Therapist in Private Practice	1,876	1,820	$271.46	48
General Practice	904	792	$303.70	5
Interventional Pain Management	652	636	$266.53	14
Pain Management	593	549	$284.32	14
Internal Medicine	585	474	$261.06	14
Independent Diagnostic Testing Facility (IDTF)	420	408	$269.45	5
Neurosurgery	355	347	$266.47	7
Orthopedic Surgery	286	279	$265.03	12
Neuropsychiatry	261	259	$240.29	7
Psychiatry	159	159	$214.34	3
Rheumatology	157	153	$317.53	2
Family Practice	136	104	$205.46	6
Cardiology	104	101	$284.93	4

95913 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	11,159	$298.22	$211.07	216
New York	7,010	$295.62	$212.20	153
Texas	6,765	$269.34	$212.27	131
Florida	4,540	$276.20	$214.71	119
Arizona	3,265	$266.89	$216.06	44
Nevada	2,573	$267.03	$217.07	24
Maryland	2,392	$282.47	$212.16	37
Massachusetts	2,052	$247.51	$179.05	61
Illinois	2,020	$227.87	$174.10	54
Pennsylvania	1,940	$247.30	$192.54	65
Alabama	1,914	$213.18	$183.11	42
Georgia	1,658	$248.88	$201.41	45
South Carolina	1,260	$252.33	$203.67	33
Virginia	1,185	$254.35	$196.03	38
North Carolina	1,086	$253.15	$202.06	46
Mississippi	1,082	$233.88	$201.45	19
Michigan	1,039	$251.19	$201.43	30
New Jersey	992	$301.02	$219.53	33
South Dakota	917	$234.07	$176.86	7
Missouri	882	$238.00	$190.33	27
Ohio	869	$192.99	$154.90	36
Tennessee	843	$234.06	$198.80	24
Oklahoma	825	$235.69	$191.52	15
Washington	808	$276.65	$201.09	29
Kansas	722	$267.25	$214.99	8
Oregon	700	$272.27	$210.65	15
Louisiana	679	$250.77	$203.14	24
Indiana	617	$249.77	$195.33	21
Kentucky	617	$244.50	$198.93	22
Wisconsin	439	$224.72	$180.85	17
Colorado	422	$276.49	$210.86	16
Minnesota	414	$253.91	$195.72	18
West Virginia	401	$224.72	$191.43	7
Arkansas	341	$249.48	$207.72	11
Utah	332	$265.43	$212.14	9
District of Columbia	320	$306.90	$211.78	6
New Mexico	306	$255.37	$199.96	6
Idaho	277	$236.74	$191.69	8
Hawaii	256	$264.65	$190.55	4
Nebraska	240	$187.64	$149.72	8
Maine	129	$234.91	$177.84	6
Montana	106	$206.51	$152.79	4
Iowa	97	$221.13	$183.24	4
Connecticut	76	$288.85	$210.75	4
Delaware	64	$218.59	$177.21	4
New Hampshire	56	$222.16	$169.95	4
Alaska	51	$292.32	$175.53	3
Wyoming	44	$288.56	$214.91	2
Vermont	32	$175.40	$135.53	2
North Dakota	26	$176.79	$136.66	1
Guam	23	$318.70	$221.45	1
Rhode Island	23	$271.22	$224.82	2

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
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.