How much does Medicare pay for CPT 95923?

Medicare allowed an average of $121.40 per service and paid $93.88 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $325.80, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95923?

Testing of autonomic (sympathetic) nervous system function. It was billed 90,145 times to 83,924 Medicare beneficiaries by 1,297 providers in 2024.

Does 95923 pay differently in an office than a hospital?

Yes. The allowed amount averaged $122.57 in an office setting and $46.10 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 95923 most?

Internal Medicine, with 16,431 services from 262 clinicians. Next are Neurology, Podiatry, Family Practice.

CPT 95923

Testing of autonomic (sympathetic) nervous system function

$121.40Medicare-allowed amount per service, averaged across 90,145 services

Providers submitted

$325.80

Asking price, not received

Medicare allowed

$121.40

The fee schedule figure

Medicare paid

$93.88

Balance is patient coinsurance

Providers submitted an average of $325.80 for this code and Medicare allowed $121.40 — 2.7× 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 $93.88 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $122.57
Hospital / facility: $46.10

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. 88,762 services were billed in an office setting and 1,383 in a facility.

Services: 90,145
Beneficiaries: 83,924
Providers billing it: 1,297
Total allowed: $10,943,603

What Medicare pays for CPT 95923

Across 90,145 services billed by 1,297 providers to 83,924 beneficiaries, Medicare allowed an average of $121.40 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 95923

Specialty	Services	Beneficiaries	Avg allowed	Providers
Internal Medicine	16,431	15,657	$125.75	262
Neurology	15,965	15,101	$117.01	217
Podiatry	9,418	9,141	$122.39	158
Family Practice	7,803	7,184	$121.00	143
Cardiology	7,655	7,304	$126.80	75
Nurse Practitioner	7,348	6,804	$103.72	148
Diagnostic Radiology	4,876	3,994	$138.24	7
Endocrinology	3,398	3,169	$120.98	43
General Practice	3,163	2,428	$129.75	27
Physician Assistant	2,537	2,347	$103.89	54
Independent Diagnostic Testing Facility (IDTF)	1,994	1,976	$126.93	13
Physical Medicine and Rehabilitation	1,545	1,330	$119.43	26
Anesthesiology	1,040	936	$113.96	19
Pain Management	913	875	$120.23	20
Pulmonary Disease	761	600	$125.94	9

95923 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	17,794	$130.26	$90.78	150
New York	16,983	$136.17	$91.42	173
Texas	13,038	$114.70	$90.57	254
Arizona	8,205	$108.49	$86.66	150
Florida	5,103	$113.31	$89.18	64
New Jersey	4,286	$131.25	$90.77	64
Nevada	3,665	$114.33	$91.94	32
Maryland	3,309	$126.64	$89.94	39
Georgia	2,658	$115.47	$92.00	56
Virginia	2,189	$107.37	$87.26	28
North Carolina	1,496	$109.26	$89.13	26
Minnesota	1,270	$121.28	$89.42	14
Pennsylvania	1,112	$114.01	$91.87	16
Utah	965	$113.08	$90.26	22
South Carolina	870	$110.46	$89.51	19
Oregon	641	$109.11	$78.80	11
Oklahoma	601	$101.67	$87.16	10
Mississippi	555	$102.12	$89.36	15
Ohio	534	$93.55	$79.94	16
Alabama	453	$100.51	$90.44	15
Missouri	417	$107.73	$90.50	4
New Mexico	403	$109.62	$89.47	14
Massachusetts	385	$58.90	$40.70	7
Illinois	358	$114.24	$87.74	12
Tennessee	336	$106.06	$87.56	13
Delaware	328	$116.58	$91.51	11
Connecticut	264	$130.84	$86.92	5
Washington	253	$112.52	$76.67	8
Louisiana	217	$110.00	$90.42	8
Indiana	211	$96.69	$84.06	4
Arkansas	194	$106.88	$92.54	4
Idaho	158	$103.66	$88.27	4
Colorado	138	$120.48	$92.69	4
Hawaii	125	$132.38	$95.14	2
Michigan	109	$107.10	$82.28	4
Kentucky	103	$109.01	$88.57	3
North Dakota	83	$117.57	$93.46	1
XX	58	$137.37	$95.19	1
West Virginia	56	$95.22	$82.78	3
Alaska	53	$118.66	$76.61	1
New Hampshire	43	$122.53	$93.71	1
Puerto Rico	37	$119.94	$92.72	3
South Dakota	35	$69.04	$54.25	2
Montana	32	$117.66	$87.70	2
Rhode Island	11	$116.88	$90.40	1
Nebraska	11	$40.99	$25.28	1

Related codes

95911Nerve conduction$197.67
95910Nerve conduction$157.37
95938Placement of skin electrodes and measurement of stimulated sites on ar$55.24
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.