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See a sample rate comparisonCPT 95954 Fee Schedule
Medicare rates as of October 2026
CPT 95954 is classified under Medicine Services and Procedures, in the Neurology and Neuromuscular Procedures subgroup.
Pharmacological Or Physical Ac, Pharmacological Or Physical Activation Requiring Physician Or Other Qualified Health Care Professional Attendance During Eeg Recording Of Activation Phase (Eg Thiopental Activation Test)
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 22On Campus Outpatient Hospital 21Inpatient Hospital |
| Common Modifiers | 26Professional component TCTechnical component |
| Hospital Outpatient Group (APC) | APC 5723 - Level 3 Diagnostic Tests and Related Services |
| Common Revenue Codes | 0740 |
| Medicare Fee Schedule | $379.43 national non-facility rate (2026)View Medicare rates for 95954 |
| Medicaid Fee Schedule | $306.61 median of the 8 states in the free previewView Medicaid rates for 95954 |
National average reimbursement for CPT 95954 by major payers:
$458.61
BCBS / Anthem
$468.41
UnitedHealthcare
$465.02
Aetna
$605.08
Cigna
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CPT 95954
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$2,472.36Published rateMary Fahrmeier
Loyola University Medical Center
$738.94Published rateJamie Evans
$542.17Published rateDenis Altman
Pediatric Faculty Foundation In
$396.58Published rateAlexandria Melendez-Zaidi
$155.30Published rate
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See a sample payer proposalCPT 95954 vs. Other Neurology and Neuromuscular Procedures Codes
The table lists codes related to 95954. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 95940-CPT | Ionm In Operatng Room 15 Min, Continuous Intraoperative Neurophysiology Monitoring In The Operating Room One On One Monitoring Requiring Personal Attendance Each 15 Minutes List Separately In Addition To Code For Primary Procedure |
| 95941-CPT | Ionm Remote 1 Pt Or Per Hr, Continuous Intraoperative Neurophysiology Monitoring From Outside The Operating Room Remote Or Nearby Or For Monitoring Of More Than One Case While In The Operating Room Per Hour List Separately In Addition To Code For Primary Procedure |
| 95954-CPT | Pharmacological Or Physical Ac, Pharmacological Or Physical Activation Requiring Physician Or Other Qualified Health Care Professional Attendance During Eeg Recording Of Activation Phase (Eg Thiopental Activation Test) |
| 95957-CPT | Computer Analysis Brain Waves, Eeg Recording That Is Analyzed By Computer To Identify The Specific Spiking Type Occurring During An Epileptic Seizure. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95954. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95954 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 95954 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 95954 to APC 5723 (Level 3 Diagnostic Tests and Related Services). An APC groups outpatient services that Medicare pays at the same base rate.
Which revenue codes are billed with CPT 95954?
Hospital price transparency files list CPT 95954 under these revenue codes: 0740. A revenue code names the hospital department or charge category for the line; it does not change what the service is.