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See a sample rate comparisonCPT 95958 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 | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $764.55 national non-facility rate (2026) · View Medicare rates for 95958 |
| Medicaid Fee Schedule | $617.23 median of the 8 states in the free preview · View Medicaid rates for 95958 |
National average reimbursement for CPT 95958 by major payers:
$711.46
$673.09
$735.61
$943.55
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CPT 95958
5 of 25 sample ratesHigher to lower in this preview
P. Daniel Le Grange
$2,614.02Published rateMark Wainwright
Association Of University Physicians
$939.26Published rateYolanda Holler-Managan
Pediatric Faculty Foundation In
$588.03Published rateBradley Weisner
Urology Specialists Of The Carolinas, PLLC
$407.34Published rateMartins Adeoye
$298.42Published rate
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See a sample payer proposalCPT 95958 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95958 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 95958 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) |
| 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. |
| 95961-CPT | Moderate | Electrode Stimulation Brain, Functional Cortical And Subcortical Mapping By Stimulation And Or Recording Of Electrodes On Brain Surface Or Of Depth Electrodes To Provoke Seizures Or Identify Vital Brain Structures Initial Hour Of Attendance By A Physician Or Other Qualified Health Care Professional |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95958. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95958 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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