How much does Medicare pay for CPT 95937?

Medicare allowed an average of $46.25 per service and paid $36.68 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1060.71, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95937?

Testing of nerve-muscle junction. It was billed 20,971 times to 15,352 Medicare beneficiaries by 143 providers in 2024.

Does 95937 pay differently in an office than a hospital?

Yes. The allowed amount averaged $106.70 in an office setting and $34.07 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 95937 most?

Neurology, with 18,900 services from 116 clinicians. Next are Audiologist, Physical Medicine and Rehabilitation, Independent Diagnostic Testing Facility (IDTF).

CPT 95937

Testing of nerve-muscle junction

$46.25Medicare-allowed amount per service, averaged across 20,971 services

Providers submitted

$1060.71

Asking price, not received

Medicare allowed

$46.25

The fee schedule figure

Medicare paid

$36.68

Balance is patient coinsurance

Providers submitted an average of $1060.71 for this code and Medicare allowed $46.25 — 22.9× 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 $36.68 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $106.70
Hospital / facility: $34.07

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. 3,516 services were billed in an office setting and 17,455 in a facility.

Services: 20,971
Beneficiaries: 15,352
Providers billing it: 143
Total allowed: $969,909

What Medicare pays for CPT 95937

Across 20,971 services billed by 143 providers to 15,352 beneficiaries, Medicare allowed an average of $46.25 per service. That is 1.4 services per beneficiary, so this is a code patients typically receive more than once. 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 95937

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	18,900	13,699	$46.06	116
Audiologist	924	890	$35.61	10
Physical Medicine and Rehabilitation	395	242	$40.59	8
Independent Diagnostic Testing Facility (IDTF)	289	154	$78.86	2
Osteopathic Manipulative Medicine	156	152	$32.79	1
Interventional Pain Management	132	63	$96.72	1
Anesthesiology	56	54	$35.54	1
Neurosurgery	49	48	$34.40	1
Allergy/ Immunology	32	13	$103.06	1
Cardiology	21	20	$103.25	1
Diagnostic Radiology	17	17	$32.04	1

95937 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	7,734	$60.48	$42.50	38
Maryland	2,456	$34.50	$26.97	19
Texas	1,746	$44.41	$36.30	9
Arizona	1,183	$35.84	$28.30	6
Nevada	1,142	$35.15	$28.35	3
Massachusetts	796	$35.66	$26.35	6
Puerto Rico	794	$31.46	$26.29	1
Utah	626	$36.40	$27.21	3
Georgia	553	$33.19	$26.27	4
New Jersey	422	$51.63	$39.56	3
Washington	406	$36.19	$26.28	5
Alaska	359	$40.80	$26.30	1
Pennsylvania	332	$36.01	$29.59	3
Illinois	305	$32.34	$26.06	3
Virginia	301	$37.56	$29.59	2
Ohio	297	$31.97	$25.58	3
Kansas	238	$32.38	$25.90	3
Michigan	195	$42.78	$33.54	3
Wisconsin	165	$31.86	$26.10	3
New York	140	$50.00	$33.27	5
Florida	103	$42.59	$34.58	4
Colorado	94	$29.65	$26.05	1
Nebraska	93	$31.96	$26.36	2
Delaware	88	$99.82	$81.36	1
North Carolina	88	$33.35	$26.26	3
Tennessee	74	$53.37	$46.16	4
Missouri	73	$98.28	$81.21	1
South Dakota	70	$32.32	$26.23	1
Indiana	68	$66.28	$70.84	2
Oregon	30	$34.33	$26.27	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.