How much does Medicare pay for CPT 95938?

Medicare allowed an average of $55.24 per service and paid $43.70 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $3518.05, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95938?

Placement of skin electrodes and measurement of stimulated sites on arms and legs. It was billed 101,899 times to 99,773 Medicare beneficiaries by 556 providers in 2024.

Does 95938 pay differently in an office than a hospital?

Yes. The allowed amount averaged $341.17 in an office setting and $44.28 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 95938 most?

Neurology, with 82,698 services from 455 clinicians. Next are Physical Medicine and Rehabilitation, Independent Diagnostic Testing Facility (IDTF), Audiologist.

CPT 95938

Placement of skin electrodes and measurement of stimulated sites on arms and legs

$55.24Medicare-allowed amount per service, averaged across 101,899 services

Providers submitted

$3518.05

Asking price, not received

Medicare allowed

$55.24

The fee schedule figure

Medicare paid

$43.70

Balance is patient coinsurance

Providers submitted an average of $3518.05 for this code and Medicare allowed $55.24 — 63.7× 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 $43.70 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $341.17
Hospital / facility: $44.28

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. 3,762 services were billed in an office setting and 98,137 in a facility.

Services: 101,899
Beneficiaries: 99,773
Providers billing it: 556
Total allowed: $5,628,901

What Medicare pays for CPT 95938

Across 101,899 services billed by 556 providers to 99,773 beneficiaries, Medicare allowed an average of $55.24 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 95938

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	82,698	81,238	$47.94	455
Physical Medicine and Rehabilitation	7,336	7,068	$42.46	27
Independent Diagnostic Testing Facility (IDTF)	2,749	2,599	$292.94	6
Audiologist	1,539	1,494	$45.68	10
Neurosurgery	1,189	1,155	$43.49	7
Anesthesiology	1,053	1,027	$46.66	7
Pediatric Medicine	1,011	993	$45.99	3
Osteopathic Manipulative Medicine	803	746	$60.44	2
Neuropsychiatry	741	731	$45.85	14
General Practice	581	571	$45.78	2
Sleep Medicine	452	440	$43.09	2
Psychiatry	450	445	$43.14	1
Pain Management	417	411	$63.13	2
Otolaryngology	189	176	$44.73	1
Diagnostic Radiology	143	143	$46.62	1

95938 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
Texas	16,121	$86.84	$70.84	66
California	15,709	$55.56	$40.31	76
New York	6,797	$74.12	$52.46	55
Florida	6,357	$47.61	$36.94	28
Colorado	4,780	$43.80	$34.47	16
Ohio	4,056	$41.67	$34.45	16
Arizona	4,046	$47.23	$38.27	18
Pennsylvania	3,802	$42.75	$34.32	26
Nevada	3,567	$43.95	$34.55	6
Louisiana	3,030	$52.17	$46.36	12
Georgia	2,990	$42.79	$34.49	17
Maryland	2,966	$43.73	$34.39	25
North Carolina	2,709	$42.63	$34.48	14
New Jersey	2,617	$44.90	$34.35	11
Illinois	2,505	$45.19	$34.43	38
Virginia	2,189	$48.79	$37.62	8
Utah	1,990	$44.50	$34.46	6
Connecticut	1,698	$45.64	$34.53	4
Wisconsin	1,525	$41.96	$34.42	5
Tennessee	1,278	$46.45	$34.27	13
Washington	1,242	$45.22	$34.39	10
Puerto Rico	1,191	$42.67	$34.59	2
Minnesota	1,168	$43.56	$34.31	14
Massachusetts	1,154	$47.02	$34.58	6
Michigan	1,007	$51.37	$41.60	15
Kansas	876	$41.77	$34.54	4
Oklahoma	569	$39.32	$34.15	3
District of Columbia	494	$54.08	$41.07	3
Delaware	479	$43.49	$34.58	1
Oregon	381	$45.50	$34.67	5
Alaska	375	$53.78	$34.63	1
South Carolina	365	$41.95	$34.62	4
AE	337	$44.35	$34.63	1
Missouri	315	$42.59	$33.50	6
Arkansas	291	$40.84	$34.38	2
Rhode Island	167	$47.07	$34.70	1
New Mexico	164	$42.28	$34.13	1
Iowa	157	$41.34	$34.69	4
Indiana	123	$41.62	$34.58	3
New Hampshire	89	$43.31	$34.74	4
Nebraska	65	$42.62	$34.75	1
Idaho	47	$41.43	$34.59	1
Maine	40	$41.71	$33.74	1
Vermont	37	$42.64	$34.55	1
Mississippi	34	$39.24	$34.61	2

Related codes

95911Nerve conduction$197.67
95910Nerve conduction$157.37
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
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.