How much does Medicare pay for CPT 95930?

Medicare allowed an average of $68.54 per service and paid $52.52 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $224.31, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95930?

Measurement of nerve conduction using visual stimulation testing with report. It was billed 27,905 times to 24,415 Medicare beneficiaries by 356 providers in 2024.

Does 95930 pay differently in an office than a hospital?

Yes. The allowed amount averaged $68.62 in an office setting and $48.05 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 95930 most?

Ophthalmology, with 10,851 services from 85 clinicians. Next are Optometry, Neurology, Internal Medicine.

CPT 95930

Measurement of nerve conduction using visual stimulation testing with report

$68.54Medicare-allowed amount per service, averaged across 27,905 services

Providers submitted

$224.31

Asking price, not received

Medicare allowed

$68.54

The fee schedule figure

Medicare paid

$52.52

Balance is patient coinsurance

Providers submitted an average of $224.31 for this code and Medicare allowed $68.54 — 3.3× 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 $52.52 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $68.62
Hospital / facility: $48.05

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. 27,789 services were billed in an office setting and 116 in a facility.

Services: 27,905
Beneficiaries: 24,415
Providers billing it: 356
Total allowed: $1,912,609

What Medicare pays for CPT 95930

Across 27,905 services billed by 356 providers to 24,415 beneficiaries, Medicare allowed an average of $68.54 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 95930

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ophthalmology	10,851	9,336	$69.24	85
Optometry	5,792	4,933	$64.03	95
Neurology	3,812	3,668	$68.99	63
Internal Medicine	2,773	2,272	$73.88	38
General Practice	1,486	1,363	$74.53	11
Family Practice	869	701	$68.76	24
Nurse Practitioner	402	398	$57.54	9
Independent Diagnostic Testing Facility (IDTF)	374	353	$76.52	2
Cardiology	285	267	$66.23	2
Anesthesiology	250	199	$60.51	2
Pain Management	240	227	$63.44	4
Physical Medicine and Rehabilitation	225	213	$63.70	8
Audiologist	107	48	$76.79	1
Emergency Medicine	96	96	$73.94	1
Obstetrics & Gynecology	90	89	$55.36	1

95930 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	7,940	$76.35	$51.73	60
Florida	4,554	$65.11	$49.85	35
Texas	3,879	$64.97	$51.12	68
New York	2,035	$75.76	$50.18	23
North Carolina	1,015	$60.61	$49.13	12
New Jersey	955	$75.15	$50.50	13
Michigan	943	$65.78	$49.73	13
Arizona	868	$64.97	$51.87	11
Virginia	817	$62.96	$43.52	11
Pennsylvania	782	$59.70	$49.80	11
Nevada	735	$59.61	$46.18	16
Tennessee	598	$59.50	$49.15	10
Georgia	265	$61.79	$50.35	8
Missouri	237	$56.42	$42.19	3
Hawaii	201	$73.41	$40.87	6
South Dakota	190	$62.01	$49.54	3
Louisiana	186	$57.32	$52.25	9
Maryland	162	$59.42	$44.76	3
Washington	161	$76.80	$52.56	3
Kentucky	154	$63.34	$51.03	3
Wisconsin	153	$63.51	$44.58	1
Alabama	119	$58.09	$46.04	5
Oklahoma	115	$59.66	$46.87	3
Puerto Rico	80	$68.45	$49.89	1
Maine	74	$66.40	$52.50	2
Mississippi	73	$60.91	$48.28	1
Indiana	70	$59.42	$51.92	3
West Virginia	69	$28.12	$25.65	1
Ohio	67	$53.34	$44.29	3
South Carolina	61	$61.04	$49.45	2
Oregon	54	$76.18	$52.57	1
Alaska	54	$72.53	$52.71	1
District of Columbia	44	$80.57	$52.84	1
Utah	44	$59.98	$51.63	2
Connecticut	36	$74.47	$51.22	2
Illinois	36	$60.44	$51.84	2
Arkansas	32	$56.93	$47.68	2
Idaho	29	$60.81	$49.35	1
Massachusetts	18	$73.90	$52.57	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.