Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 95719 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.
Eeg Phys Qhp Ea Incr W O Vid, Electroencephalogram Eeg Continuous Recording Physician Or Other Qualified Health Care Professional Review Of Recorded Events Analysis Of Spike And Seizure Detection Each Increment Of Greater Than 12 Hours Up To 26 Hours Of Eeg Recording Interpretation And Report After Each 24 Hour Period Without Video
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $165.00 national non-facility rate (2026) · View Medicare rates for 95719 |
| Medicaid Fee Schedule | $133.39 median of the 8 states in the free preview · View Medicaid rates for 95719 |
National average reimbursement for CPT 95719 by major payers:
$205.70
$209.11
$212.54
$255.75
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 95719.
CPT 95719
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$908.78Published rateAliesje Sorgeloos
Advocate Health And Hospitals Corporation
$332.14Published rateAbby Fredrickson
Loyola University Medical Center
$314.07Published rateCezary Dudzinski
Northwestern Memorial Healthcare
$245.27Published rateAmanda Reeder
Town Center Orthopaedic Associates, P.C.
$144.38Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 95719 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95719 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 95719 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 |
|---|---|---|
| 95718-CPT | Low | Eeg Phys Qhp 2 12 Hr W Veeg, Electroencephalogram Eeg Continuous Recording Physician Or Other Qualified Health Care Professional Review Of Recorded Events Analysis Of Spike And Seizure Detection Interpretation And Report 2 12 Hours Of Eeg Recording With Video Veeg |
| 95719-CPT | Moderate | Eeg Phys Qhp Ea Incr W O Vid, Electroencephalogram Eeg Continuous Recording Physician Or Other Qualified Health Care Professional Review Of Recorded Events Analysis Of Spike And Seizure Detection Each Increment Of Greater Than 12 Hours Up To 26 Hours Of Eeg Recording Interpretation And Report After Each 24 Hour Period Without Video |
| 95720-CPT | Moderate | Eeg Phy Qhp Ea Incr W Veeg, Electroencephalogram Eeg Continuous Recording Physician Or Other Qualified Health Care Professional Review Of Recorded Events Analysis Of Spike And Seizure Detection Each Increment Of Greater Than 12 Hours Up To 26 Hours Of Eeg Recording Interpretation And Report After Each 24 Hour Period With Video Veeg |
| 95721-CPT | Moderate | Eeg Phy Qhp 36 60 Hr W O Vid, Electroencephalogram Eeg Continuous Recording Physician Or Other Qualified Health Care Professional Review Of Recorded Events Analysis Of Spike And Seizure Detection Interpretation And Summary Report Complete Study Greater Than 36 Hours Up To 60 Hours Of Eeg Recording Without Video |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95719. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95719 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 95719) and we'll show you how you compare in 15 minutes or less.