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See a sample rate comparisonCPT 95961 Fee Schedule
Medicare rates as of October 2026
CPT 95961 is classified under Medicine Services and Procedures, in the Neurology and Neuromuscular Procedures subgroup.
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
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 21Inpatient Hospital 11Office 22On Campus Outpatient Hospital |
| Common Modifiers | 26Professional component 59Distinct Procedural Service |
| Hospital Outpatient Group (APC) | APC 5724 - Level 4 Diagnostic Tests and Related Services |
| Add-on Codes | 95962 |
| Common Revenue Codes | 07400920 |
| Medicare Fee Schedule | $365.07 national non-facility rate (2026)View Medicare rates for 95961 |
| Medicaid Fee Schedule | $293.15 median of the 8 states in the free previewView Medicaid rates for 95961 |
National average reimbursement for CPT 95961 by major payers:
$373.64
BCBS / Anthem
$367.48
UnitedHealthcare
$409.24
Aetna
$474.14
Cigna
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CPT 95961
5 of 25 sample ratesHigher to lower in this preview
Rahul Sharma
Advocate Health And Hospitals Corporation
$652.28Published rateAlma Ramic
Veterans Assistance Commission C
$316.66Published rateChelsea Curry
Advocate Health And Hospitals Corporation
$245.91Published rateJohn Millichap
Community Care Network Inc
$199.36Published rateRestorative Health Rehabilitation Inc
$35.00Published rate
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See a sample payer proposalCPT 95961 vs. Other Neurology and Neuromuscular Procedures Codes
The table lists codes related to 95961. 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 |
| 95958-CPT | Computer Analysis Brain Waves, Eeg Recording That Is Analyzed By Computer To Identify The Specific Spiking Type Occurring During An Epileptic Seizure. |
| 95961-CPT | 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 |
| 95962-CPT | Electrode Stim Brain Add On, 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 Each Additional Hour Of Attendance By A Physician Or Other Qualified Health Care Professional List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95961. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95961 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 95961 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 95961 to APC 5724 (Level 4 Diagnostic Tests and Related Services). An APC groups outpatient services that Medicare pays at the same base rate.
Which add-on codes are billed with CPT 95961?
CMS add-on code edits list CPT 95961 as a primary code for these add-on codes: 95962.
Which revenue codes are billed with CPT 95961?
Hospital price transparency files list CPT 95961 under these revenue codes: 0740 and 0920. A revenue code names the hospital department or charge category for the line; it does not change what the service is.