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See a sample rate comparisonCPT 95967 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.
Meg Evoked Each Addl, Magnetoencephalography Meg Recording And Analysis For Evoked Magnetic Fields Each Additional Modality Eg Sensory Motor Language Or Visual Cortex Localization List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $185.04 national non-facility rate (2026) · View Medicare rates for 95967 |
| Medicaid Fee Schedule | $319.85 median of the 3 states in the free preview · View Medicaid rates for 95967 |
National average reimbursement for CPT 95967 by major payers:
$731.28
$989.65
$1,037.04
$1,256.17
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CPT 95967
5 of 25 sample ratesHigher to lower in this preview
John Millichap
$2,667.00Published rateIunia Dadarlat
Arnett Clinic LLC
$1,012.15Published rateIllinois Professionals Health Program, LLC
Illinois Professionals Health Progr
$731.00Published rateDavid Kemp
Advocate Health And Hospitals Corporation
$382.76Published rateJonathan Howard
Veterans Assistance Commission C
$226.80Published rate
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See a sample payer proposalCPT 95967 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95967 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 95967 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 |
|---|---|---|
| 95962-CPT | Moderate | 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 |
| 95965-CPT | High | Map Of Brain Magnetic Activity, Magnetoencephalography (Meg) Is An Imaging Technique That Records Magnetic Forces Within The Brain. The Information Can Help To Pinpoint The Location Of Seizures Within The Brain. |
| 95966-CPT | High | Map Of Brain Magnetic Activity, Magnetoencephalography (Meg) Is An Imaging Technique That Records Magnetic Forces Within The Brain. The Information Can Help To Pinpoint The Location Of Seizures Within The Brain. |
| 95967-CPT | Moderate | Meg Evoked Each Addl, Magnetoencephalography Meg Recording And Analysis For Evoked Magnetic Fields Each Additional Modality Eg Sensory Motor Language Or Visual Cortex Localization 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 95967. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95967 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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