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See a sample rate comparisonCPT 95707 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
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| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component 52 - Reduced Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 95707 |
| Medicaid Fee Schedule | View Medicaid rates for 95707 |
National average reimbursement for CPT 95707 by major payers:
$549.51
$547.34
$532.48
$782.03
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CPT 95707
5 of 25 sample ratesHigher to lower in this preview
Nicholas Hatzis
$956.73Published rateElizabeth Mirkin
Mount Sinai Community Foundation
$606.53Published rateKavita Thakkar
Northwestern Memorial Healthcare
$418.39Published rateJohn Millichap
Advocate Health And Hospitals Corporation
$396.48Published rateBrad Berger
Presence Behavioral Health
$303.72Published rate
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See a sample payer proposalCPT 95707 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95707 code is part of the Medicine Services and Procedures services used for Neurology and Neuromuscular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 95707 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 95705-CPT | Moderate | Eeg W O Vid 2 12 Hr Unmntr, Electroencephalogram Eeg Without Video Review Of Data Technical Description By Eeg Technologist 2 12 Hours Unmonitored |
| 95706-CPT | Moderate | Eeg Wo Vid 2 12hr Intmt Mntr, Electroencephalogram Eeg Without Video Review Of Data Technical Description By Eeg Technologist 2 12 Hours With Intermittent Monitoring And Maintenance |
| 95707-CPT | Moderate | Eeg W O Vid 2 12hr Cont Mntr, Electroencephalogram Eeg Without Video Review Of Data Technical Description By Eeg Technologist 2 12 Hours With Continuous Real Time Monitoring And Maintenance |
| 95708-CPT | Moderate | Eeg Wo Vid Ea 12 26hr Unmntr, Electroencephalogram Eeg Without Video Review Of Data Technical Description By Eeg Technologist Each Increment Of 12 26 Hours Unmonitored |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95707. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95707 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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