How much does Medicare pay for CPT 95976?

Medicare allowed an average of $35.85 per service and paid $26.75 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $162.30, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 95976?

Electronic analysis of neurostimulator generator with simple cranial nerve stimulator programming. It was billed 6,822 times to 4,201 Medicare beneficiaries by 224 providers in 2024.

Does 95976 pay differently in an office than a hospital?

Yes. The allowed amount averaged $36.01 in an office setting and $35.05 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 95976 most?

Nurse Practitioner, with 1,493 services from 52 clinicians. Next are Pulmonary Disease, Sleep Medicine, Otolaryngology.

CPT 95976

Electronic analysis of neurostimulator generator with simple cranial nerve stimulator programming

$35.85Medicare-allowed amount per service, averaged across 6,822 services

Providers submitted

$162.30

Asking price, not received

Medicare allowed

$35.85

The fee schedule figure

Medicare paid

$26.75

Balance is patient coinsurance

Providers submitted an average of $162.30 for this code and Medicare allowed $35.85 — 4.5× 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 $26.75 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $36.01
Hospital / facility: $35.05

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. 5,685 services were billed in an office setting and 1,137 in a facility.

Services: 6,822
Beneficiaries: 4,201
Providers billing it: 224
Total allowed: $244,569

What Medicare pays for CPT 95976

Across 6,822 services billed by 224 providers to 4,201 beneficiaries, Medicare allowed an average of $35.85 per service. That is 1.6 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 95976

Specialty	Services	Beneficiaries	Avg allowed	Providers
Nurse Practitioner	1,493	977	$31.67	52
Pulmonary Disease	1,330	821	$37.67	46
Sleep Medicine	998	588	$37.28	28
Otolaryngology	880	568	$38.95	28
Neurology	824	435	$37.61	23
Physician Assistant	714	434	$31.53	24
Internal Medicine	241	163	$38.88	8
Family Practice	82	53	$37.59	4
Critical Care (Intensivists)	64	31	$40.25	2
Pediatric Medicine	50	26	$35.71	2
Hospitalist	43	28	$34.96	2
Cardiology	38	20	$37.80	1
Maxillofacial Surgery	19	19	$38.24	1
Psychiatry	19	12	$38.74	1
Neuropsychiatry	15	14	$36.00	1

95976 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
Florida	878	$38.74	$28.30	26
Iowa	553	$35.76	$27.05	8
Texas	449	$37.61	$28.91	17
Missouri	373	$32.08	$25.34	12
Arizona	337	$34.98	$26.86	12
North Carolina	264	$36.48	$26.65	6
South Carolina	240	$36.82	$28.92	9
Georgia	227	$34.64	$26.67	8
Pennsylvania	220	$35.81	$26.79	10
Indiana	219	$33.47	$26.98	7
Louisiana	194	$35.76	$27.32	4
Ohio	186	$36.28	$28.30	7
Mississippi	185	$31.91	$25.90	9
California	176	$38.01	$25.89	7
Colorado	166	$33.84	$26.00	7
New York	135	$38.54	$28.35	6
New Jersey	135	$43.00	$29.53	4
Kentucky	133	$33.36	$24.98	2
Virginia	130	$34.87	$26.47	4
South Dakota	127	$32.42	$24.65	4
Tennessee	113	$31.65	$23.87	4
Massachusetts	113	$39.56	$27.46	2
Wisconsin	107	$37.04	$25.39	3
Nevada	107	$37.45	$29.86	3
Nebraska	92	$32.22	$26.75	5
Kansas	92	$30.53	$23.84	2
Illinois	92	$34.54	$24.10	3
Alabama	91	$33.86	$26.99	4
Michigan	72	$35.19	$25.80	3
Idaho	72	$33.03	$25.72	2
Arkansas	68	$32.30	$26.98	3
West Virginia	66	$36.10	$28.16	3
Utah	63	$33.71	$25.52	4
Connecticut	61	$41.67	$29.47	2
Delaware	57	$39.67	$30.51	1
Wyoming	48	$37.71	$27.40	2
North Dakota	46	$33.66	$27.01	2
Montana	26	$32.73	$24.47	1
Maryland	26	$40.37	$29.30	1
Washington	18	$38.48	$30.50	1
Maine	18	$33.11	$24.69	1
Minnesota	18	$37.02	$25.65	1
Oregon	15	$31.36	$25.95	1
Oklahoma	14	$32.23	$25.92	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.