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See a sample rate comparisonCPT 95957 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.
Computer Analysis Brain Waves, Eeg Recording That Is Analyzed By Computer To Identify The Specific Spiking Type Occurring During An Epileptic Seizure.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $309.96 national non-facility rate (2026) · View Medicare rates for 95957 |
| Medicaid Fee Schedule | $250.605 median of the 8 states in the free preview · View Medicaid rates for 95957 |
National average reimbursement for CPT 95957 by major payers:
$330.21
$348.45
$359.83
$446.78
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CPT 95957
5 of 25 sample ratesHigher to lower in this preview
P. Daniel Le Grange
$1,783.19Published rateElton Smith
$503.89Published rateKevin Varghese
Riverside Health System
$444.26Published rateMalik Nassan
Head & Neck And Cosmetic Surgery Associates, LLC
$263.32Published rateJohn Millichap
Advocate Health And Hospitals Corporation
$173.71Published rate
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See a sample payer proposalCPT 95957 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95957 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 95957 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 |
|---|---|---|
| 95954-CPT | Moderate | 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) |
| 95955-CPT | Moderate | Electroencephalog (Eeg) During Nonintracranial Surg (Eg Carotid, Electroencephalogram (Eeg) During Nonintracranial Surgery (Eg Carotid |
| 95957-CPT | Moderate | Computer Analysis Brain Waves, Eeg Recording That Is Analyzed By Computer To Identify The Specific Spiking Type Occurring During An Epileptic Seizure. |
| 95958-CPT | Moderate | 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 95957. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95957 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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