Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 95970 Fee Schedule
Last Verified: September 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.
Alys Npgt W O Prgrmg, Electronic Analysis Of Implanted Neurostimulator Pulse Generator Transmitter Eg Contact Group S Interleaving Amplitude Pulse Width Frequency Hz On Off Cycling Burst Magnet Mode Dose Lockout Patient Selectable Parameters Responsive Neurostimulation Detection Algorithms Closed Loop Parameters And Passive Parameters By Physician Or Other Qualified Health Care Professional With Brain Cranial Nerve Spinal Cord Peripheral Nerve Or Sacral Nerve Neurostimulator Pulse Generator Transmitter Without Programming
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 95970 |
| Medicaid Fee Schedule | View Medicaid rates for 95970 |
National average reimbursement for CPT 95970 by major payers:
$32.81
$46.35
$50.66
$36.38
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 95970.
CPT 95970
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$121.87Published rateRebecca Gilfillan
Advocate Health And Hospitals Corporation
$41.25Published rateMark Alter
$38.27Published rateCharles Hebert
$34.02Published rateMedeia Gartel
Mount Sinai Community Foundation
$20.79Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 95970 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95970 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 95970 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 |
|---|---|---|
| 95970-CPT | Low | Alys Npgt W O Prgrmg, Electronic Analysis Of Implanted Neurostimulator Pulse Generator Transmitter Eg Contact Group S Interleaving Amplitude Pulse Width Frequency Hz On Off Cycling Burst Magnet Mode Dose Lockout Patient Selectable Parameters Responsive Neurostimulation Detection Algorithms Closed Loop Parameters And Passive Parameters By Physician Or Other Qualified Health Care Professional With Brain Cranial Nerve Spinal Cord Peripheral Nerve Or Sacral Nerve Neurostimulator Pulse Generator Transmitter Without Programming |
| 95971-CPT | Low | Alys Smpl Sp Pn Npgt W Prgrm, Electronic Analysis Of Implanted Neurostimulator Pulse Generator Transmitter Eg Contact Group S Interleaving Amplitude Pulse Width Frequency Hz On Off Cycling Burst Magnet Mode Dose Lockout Patient Selectable Parameters Responsive Neurostimulation Detection Algorithms Closed Loop Parameters And Passive Parameters By Physician Or Other Qualified Health Care Professional With Simple Spinal Cord Or Peripheral Nerve Eg Sacral Nerve Neurostimulator Pulse Generator Transmitter Programming By Physician Or Other Qualified Health Care Professional |
| 95972-CPT | Low | Alys Cplx Sp Pn Npgt W Prgrm, Electronic Analysis Of Implanted Neurostimulator Pulse Generator Transmitter Eg Contact Group S Interleaving Amplitude Pulse Width Frequency Hz On Off Cycling Burst Magnet Mode Dose Lockout Patient Selectable Parameters Responsive Neurostimulation Detection Algorithms Closed Loop Parameters And Passive Parameters By Physician Or Other Qualified Health Care Professional With Complex Spinal Cord Or Peripheral Nerve Eg Sacral Nerve Neurostimulator Pulse Generator Transmitter Programming By Physician Or Other Qualified Health Care Professional |
| 95976-CPT | Low | Alys Smpl Cn Npgt Prgrmg, Electronic Analysis Of Implanted Neurostimulator Pulse Generator Transmitter Eg Contact Group S Interleaving Amplitude Pulse Width Frequency Hz On Off Cycling Burst Magnet Mode Dose Lockout Patient Selectable Parameters Responsive Neurostimulation Detection Algorithms Closed Loop Parameters And Passive Parameters By Physician Or Other Qualified Health Care Professional With Simple Cranial Nerve Neurostimulator Pulse Generator Transmitter Programming By 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 95970. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95970 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 95970) and we'll show you how you compare in 15 minutes or less.