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See a sample rate comparisonCPT 95861 Fee Schedule
Medicare rates as of October 2026
CPT 95861 is classified under Medicine Services and Procedures, in the Neurology and Neuromuscular Procedures subgroup.
Test Nerve In Arm Leg Muscles, An Electromyography (Emg) Measures How Muscles Respond To Nerve Impulses. An Electrode Attached To A Needle Is Inserted Into One Extremity (Arm Leg Hand Foot Or Neck Muscles). Related Muscles Along The Spine May Be Tested As Well.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital 15Mobile Unit |
| Common Modifiers | 26Professional component XUUnusual Non-Overlapping Service |
| Hospital Outpatient Group (APC) | APC 5734 - Level 4 Minor Procedures |
| Add-on Codes | 9594095941Sign up to view all 3 |
| Common Revenue Codes | 09200922Sign up to view all 4 |
| Medicare Fee Schedule | $161.99 national non-facility rate (2026)View Medicare rates for 95861 |
| Medicaid Fee Schedule | $131.37 median of the 7 states in the free previewView Medicaid rates for 95861 |
National average reimbursement for CPT 95861 by major payers:
$183.41
BCBS / Anthem
$200.10
UnitedHealthcare
$219.90
Aetna
$245.07
Cigna
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CPT 95861
5 of 25 sample ratesHigher to lower in this preview
Rhonda Lampen
Multicare Health System
$332.73Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$258.63Published rateDavid Sholtes
$163.35Published rateJeremiah Brewer
Loyola University Medical Center
$133.77Published rateShalini Chawla
Shalini Chawla Md LLC
$107.18Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 95861 vs. Other Neurology and Neuromuscular Procedures Codes
The table lists codes related to 95861. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 95860-CPT | Test Nerve In Arm Leg Muscles, An Electromyography (Emg) Measures How Muscles Respond To Nerve Impulses. An Electrode Attached To A Needle Is Inserted Into One Extremity (Arm Leg Hand Foot Or Neck Muscles). Related Muscles Along The Spine May Be Tested As Well. |
| 95861-CPT | Test Nerve In Arm Leg Muscles, An Electromyography (Emg) Measures How Muscles Respond To Nerve Impulses. An Electrode Attached To A Needle Is Inserted Into One Extremity (Arm Leg Hand Foot Or Neck Muscles). Related Muscles Along The Spine May Be Tested As Well. |
| 95863-CPT | Test Nerve In Arm Leg Muscles, An Electromyography (Emg) Measures How Muscles Respond To Nerve Impulses. An Electrode Attached To A Needle Is Inserted Into One Extremity (Arm Leg Hand Foot Or Neck Muscles). Related Muscles Along The Spine May Be Tested As Well. |
| 95864-CPT | Test Nerve In Arm Leg Muscles, An Electromyography (Emg) Measures How Muscles Respond To Nerve Impulses. An Electrode Attached To A Needle Is Inserted Into One Extremity (Arm Leg Hand Foot Or Neck Muscles). Related Muscles Along The Spine May Be Tested As Well. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95861. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95861 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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Frequently Asked Questions
What APC is CPT 95861 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 95861 to APC 5734 (Level 4 Minor Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
Which add-on codes are billed with CPT 95861?
CMS add-on code edits list CPT 95861 as a primary code for these add-on codes: 95940, 95941 and G0453.
Which revenue codes are billed with CPT 95861?
Hospital price transparency files list CPT 95861 under these revenue codes: 0920, 0922, 0929 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.