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See a sample rate comparisonCPT 95926 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 Nerve Signaling, The Test Is Called Somatosensory Evoked Potentials (Seps). It Tests The Ability Of Nerves To Conduct Signals Of Sensation To The Brain. Electrical Impulses Are Sent Through Electrodes Placed On The Skin. An Eeg Records Nerve Responses.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 15 - Mobile Unit |
| Common Modifiers | 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $135.94 national non-facility rate (2026) · View Medicare rates for 95926 |
| Medicaid Fee Schedule | $109.525 median of the 8 states in the free preview · View Medicaid rates for 95926 |
National average reimbursement for CPT 95926 by major payers:
$172.33
$164.36
$184.41
$215.78
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CPT 95926
5 of 25 sample ratesHigher to lower in this preview
Matthew Lilley
Bend Memorial Clinic, PC
$302.78Published rateBruce Madsen
Eyecare Associates PC
$224.19Published rateJamie Pacis
Northwestern Memorial Healthcare
$158.50Published ratePoonam Jha
$55.88Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$18.71Published rate
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See a sample payer proposalCPT 95926 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95926 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 95926 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 |
|---|---|---|
| 95925-CPT | Moderate | Test Of Nerve Signaling, The Test Is Called Somatosensory Evoked Potentials (Seps). It Tests The Ability Of Nerves To Conduct Signals Of Sensation To The Brain. Electrical Impulses Are Sent Through Electrodes Placed On The Skin. An Eeg Records Nerve Responses. |
| 95926-CPT | Low | Test Of Nerve Signaling, The Test Is Called Somatosensory Evoked Potentials (Seps). It Tests The Ability Of Nerves To Conduct Signals Of Sensation To The Brain. Electrical Impulses Are Sent Through Electrodes Placed On The Skin. An Eeg Records Nerve Responses. |
| 95927-CPT | Low | Test Of Nerve Signaling, The Test Is Called Somatosensory Evoked Potentials (Seps). It Tests The Ability Of Nerves To Conduct Signals Of Sensation To The Brain. Electrical Impulses Are Sent Through Electrodes Placed On The Skin. An Eeg Records Nerve Responses. |
| 95938-CPT | Moderate | Test Of Nerve Signaling, The Test Is Called Somatosensory Evoked Potentials (Seps). It Tests The Ability Of Nerves To Conduct Signals Of Sensation To The Brain. Electrical Impulses Are Sent Through Electrodes Placed On The Skin. An Eeg Records Nerve Responses. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95926. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95926 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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