How much does Medicare pay for CPT 95955?

Medicare allowed an average of $52.03 per service and paid $41.14 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $3242.48, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95955?

Measurement of brain wave activity (eeg) outside the brain during surgery. It was billed 31,686 times to 31,008 Medicare beneficiaries by 232 providers in 2024.

Does 95955 pay differently in an office than a hospital?

Yes. The allowed amount averaged $185.14 in an office setting and $51.57 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 95955 most?

Neurology, with 25,285 services from 194 clinicians. Next are Physical Medicine and Rehabilitation, Audiologist, Neurosurgery.

CPT 95955

Measurement of brain wave activity (eeg) outside the brain during surgery

$52.03Medicare-allowed amount per service, averaged across 31,686 services

Providers submitted

$3242.48

Asking price, not received

Medicare allowed

$52.03

The fee schedule figure

Medicare paid

$41.14

Balance is patient coinsurance

Providers submitted an average of $3242.48 for this code and Medicare allowed $52.03 — 62.3× 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 $41.14 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $185.14
Hospital / facility: $51.57

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. 109 services were billed in an office setting and 31,577 in a facility.

Services: 31,686
Beneficiaries: 31,008
Providers billing it: 232
Total allowed: $1,648,623

What Medicare pays for CPT 95955

Across 31,686 services billed by 232 providers to 31,008 beneficiaries, Medicare allowed an average of $52.03 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 95955

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	25,285	24,825	$52.20	194
Physical Medicine and Rehabilitation	4,777	4,594	$48.07	14
Audiologist	469	466	$51.85	7
Neurosurgery	268	262	$49.64	4
Osteopathic Manipulative Medicine	243	229	$53.40	1
Sleep Medicine	150	149	$49.71	1
Independent Diagnostic Testing Facility (IDTF)	109	104	$185.14	1
Vascular Surgery	90	85	$53.93	4
Pediatric Medicine	80	80	$54.94	2
Anesthesiology	76	76	$55.51	1
Psychiatry	64	63	$51.07	1
Pain Management	40	40	$55.10	1
General Practice	35	35	$53.91	1

95955 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	6,194	$52.85	$42.23	39
California	5,120	$55.23	$40.33	30
Florida	2,464	$51.87	$40.50	18
Nevada	2,425	$51.59	$40.52	5
Louisiana	2,157	$46.19	$40.58	7
Colorado	1,436	$50.66	$40.45	8
New York	1,432	$55.38	$40.20	13
Arizona	1,285	$50.47	$40.57	6
Maryland	1,125	$51.01	$40.49	7
Tennessee	903	$56.02	$40.43	2
Ohio	893	$49.27	$40.30	12
Pennsylvania	752	$50.13	$40.27	12
New Jersey	581	$53.24	$39.80	6
Puerto Rico	581	$49.00	$40.64	1
Utah	551	$51.75	$41.40	2
Wisconsin	526	$49.26	$40.54	2
Washington	471	$53.76	$40.52	8
Virginia	455	$51.99	$40.15	5
Oklahoma	329	$45.44	$40.07	1
Georgia	236	$50.48	$40.65	6
North Carolina	232	$50.31	$40.40	5
Michigan	212	$49.21	$40.59	4
Connecticut	211	$53.60	$40.63	3
Kansas	151	$48.69	$39.96	3
New Hampshire	140	$50.64	$40.75	5
AE	127	$51.89	$40.63	1
Illinois	102	$51.87	$40.29	5
Minnesota	89	$50.66	$40.53	2
Massachusetts	87	$55.11	$40.62	2
Delaware	72	$50.61	$40.76	1
Alabama	67	$48.11	$37.37	2
Maine	50	$49.03	$40.58	1
South Carolina	48	$49.41	$40.58	1
Kentucky	45	$48.10	$36.96	1
Vermont	35	$50.11	$40.53	1
New Mexico	31	$49.55	$40.52	1
Indiana	28	$49.03	$39.24	2
District of Columbia	28	$52.34	$39.77	1
Nebraska	15	$48.64	$40.58	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.