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See a sample rate comparisonCPT 95911 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.
Test Of Nerves And Muscles, This Nerve Study Evaluates Muscle Movements And Feeling When Nerves Are Stimulated With An Electric Current.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $220.11 national non-facility rate (2026) · View Medicare rates for 95911 |
| Medicaid Fee Schedule | $178.68 median of the 8 states in the free preview · View Medicaid rates for 95911 |
National average reimbursement for CPT 95911 by major payers:
$243.50
$297.52
$301.25
$357.08
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CPT 95911
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$582.03Published rateJoseph Divincenzo
Loyola University Medical Center
$253.78Published rateEmily Courtney
Town Center Orthopaedic Associates, P.C.
$134.24Published rateBikram Sharma
Saint Anthony Health Affiliates
$110.90Published rateMichelo Chikonka
$78.37Published rate
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See a sample payer proposalCPT 95911 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95911 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 95911 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 |
|---|---|---|
| 95905-CPT | Low | Nerve Function Study, A Nerve Function Study Evaluates Muscle Movements Or A Sensation Such As Numbness Or Weakness. The Study Can Measure Length Of Time Between Stimulation Of The Nerve And A Reaction Or The Intensity Of A Reaction. |
| 95907-CPT | Low | Test Of Nerves And Muscles, This Nerve Study Evaluates Muscle Movements And Feeling When Nerves Are Stimulated With An Electric Current. |
| 95908-CPT | Low | Test Of Nerves And Muscles, This Nerve Study Evaluates Muscle Movements And Feeling When Nerves Are Stimulated With An Electric Current. |
| 95911-CPT | Moderate | Test Of Nerves And Muscles, This Nerve Study Evaluates Muscle Movements And Feeling When Nerves Are Stimulated With An Electric Current. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95911. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95911 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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