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 95830 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.
Insertion By Physician Or Othe, Insertion By Physician Or Other Qualified Health Care Professional Of Sphenoidal Electrodes For Electroencephalographic (Eeg) Recording
| 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 | None 52 - Reduced Services SA |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 95830 |
| Medicaid Fee Schedule | View Medicaid rates for 95830 |
National average reimbursement for CPT 95830 by major payers:
$541.39
$469.62
$645.55
$186.81
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 95830.
CPT 95830
5 of 25 sample ratesHigher to lower in this preview
Our Lady Of Lourdes Regional Medical Center Inc
$18,882.00Published rateTenet Hospitals Limited, The Hospitals Of Providence Sierra Campus
$5,835.00Published rateEmerus Bhs Sa Thousand Oaks, LLC, Baptist Neighborhood Hospital Zarzamora
Emerus Bhs Sa Thousand Oaks LLC
$2,161.00Published rateSouth Shore Hospital Corporation
$557.00Published rateMh Imaging-Kenosha LLC
Mh Imagingkenosha LLC
$211.52Published 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 95830 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95830 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 95830 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 |
|---|---|---|
| 95709-CPT | Moderate | Eeg W O Vid Ea 12 26hr Intmt, Electroencephalogram Eeg Without Video Review Of Data Technical Description By Eeg Technologist Each Increment Of 12 26 Hours With Intermittent Monitoring And Maintenance |
| 95829-CPT | High | Electrocorticogram At Surgery, Electrocorticogram At Surgery (Separate Procedure)Electrocorticogram At Surgery (Separate Procedure) |
| 95830-CPT | Moderate | Insertion By Physician Or Othe, Insertion By Physician Or Other Qualified Health Care Professional Of Sphenoidal Electrodes For Electroencephalographic (Eeg) Recording |
| 95836-CPT | Low | Electrocorticogram From An Imp, Electrocorticogram From An Implanted Brain Neurostimulator Pulse Generatortransmitter Including Recording With Interpretation And Written Report Up To 30 Days |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95830. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95830 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 95830) and we'll show you how you compare in 15 minutes or less.