How much does Medicare pay for CPT 95926?

Medicare allowed an average of $166.25 per service and paid $131.77 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $308.56, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95926?

Placement of skin electrodes and measurement of stimulated sites in legs. It was billed 5,461 times to 5,230 Medicare beneficiaries by 55 providers in 2024.

Does 95926 pay differently in an office than a hospital?

Yes. The allowed amount averaged $173.97 in an office setting and $26.58 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 95926 most?

Independent Diagnostic Testing Facility (IDTF), with 1,843 services from 6 clinicians. Next are Neurology, Podiatry, General Practice.

CPT 95926

Placement of skin electrodes and measurement of stimulated sites in legs

$166.25Medicare-allowed amount per service, averaged across 5,461 services

Providers submitted

$308.56

Asking price, not received

Medicare allowed

$166.25

The fee schedule figure

Medicare paid

$131.77

Balance is patient coinsurance

Providers submitted an average of $308.56 for this code and Medicare allowed $166.25 — 1.9× 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 $131.77 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $173.97
Hospital / facility: $26.58

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. 5,175 services were billed in an office setting and 286 in a facility.

Services: 5,461
Beneficiaries: 5,230
Providers billing it: 55
Total allowed: $907,891

What Medicare pays for CPT 95926

Across 5,461 services billed by 55 providers to 5,230 beneficiaries, Medicare allowed an average of $166.25 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 95926

Specialty	Services	Beneficiaries	Avg allowed	Providers
Independent Diagnostic Testing Facility (IDTF)	1,843	1,797	$179.77	6
Neurology	1,243	1,184	$145.71	23
Podiatry	629	541	$179.82	2
General Practice	564	549	$169.86	4
Physical Medicine and Rehabilitation	328	320	$162.92	4
Dermatology	255	249	$181.47	1
Endocrinology	161	154	$173.38	2
Internal Medicine	149	148	$169.24	3
Pain Management	100	100	$130.29	1
Family Practice	69	68	$175.25	3
Audiologist	38	38	$30.23	1
Neurosurgery	21	21	$184.41	1
Anesthesiology	18	18	$135.67	1
General Surgery	16	16	$26.24	1
Osteopathic Manipulative Medicine	15	15	$26.37	1

95926 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	3,085	$178.91	$122.27	10
New York	829	$184.66	$122.98	11
Maryland	354	$154.21	$123.18	1
New Jersey	190	$160.90	$111.04	4
Georgia	174	$144.62	$123.02	4
Ohio	159	$134.93	$120.54	2
Florida	148	$129.68	$101.45	5
Kentucky	108	$137.85	$120.28	2
District of Columbia	96	$181.62	$118.16	1
Pennsylvania	68	$25.66	$20.78	3
Utah	53	$29.14	$20.78	2
Michigan	45	$144.50	$121.17	2
Alabama	42	$130.98	$116.84	3
Louisiana	34	$25.93	$20.83	1
Idaho	32	$25.04	$20.18	1
Texas	16	$120.76	$101.83	1
Nevada	15	$26.11	$20.87	1
Arizona	13	$23.93	$20.77	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
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

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.