CPT 64615
Chemodenervation for chronic migraine
- Aetna
- $50.52
- Cigna
- $399.81
- United
- $316.82
- Anthem
- $184.21
Neurology reimbursement rates in Vermont
Explore neurology reimbursement rates in Vermont. Public state reference averages appear below. Detailed payer comparisons are available with a state preview.
2,986,384 national provider-rate observations4 payers in national source data50 states in national dataset20 billing codes in national dataset
Rate data shownJun–Jul 2026About these rates
Neurology rate explorerThree reference services
Rate measure$ per service
Billing contextProfessional neurology
Vermont neurology reference averages
Publication period: Jun–Jul 2026CPT 95819
Routine EEG, awake and asleep
- Aetna
- $168.54
- Cigna
- $1,217.91
- United
- $816.15
- Anthem
- $555.80
CPT 95911
Nerve conduction studies, 9-10 studies
- Aetna
- $73.13
- Cigna
- $595.62
- United
- $413.03
- Anthem
- $244.51
National neurology rates by payer
Compare payer benchmarks across common neurology services while preserving the code, billing-component, and drug-unit context.
Aetna state variation for 95819
LowerHigher
Vermont
Select a state to reveal payer percentiles and provider examples.National 95819 rate distribution
PayerMedian
Published rate$ per service
$400$500$600$700$800
AetnaJun–Jul 2026
AetnaProviders34,743Average$602.72
$523.77median
CignaJun–Jul 2026
CignaProviders36,193Average$832.26
$719.53median
UnitedJun–Jul 2026
UnitedProviders38,892Average$835.40
$736.62median
AnthemJun–Jul 2026
AnthemProviders35,288Average$890.40
$751.48median
Each marker shows the national median published rate across billing entities for that payer.
National 95819 rates by payer
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | Jun–Jul 2026 | 34,743 | $523.77 | $602.72 | |||
| Cigna | Jun–Jul 2026 | 36,193 | $719.53 | $832.26 | |||
| United | Jun–Jul 2026 | 38,892 | $736.62 | $835.40 | |||
| Anthem | Jun–Jul 2026 | 35,288 | $751.48 | $890.40 |
About these rates
About this rate table
- Source
- Negotiated or fee-schedule amounts published directly by payers in their machine-readable files.
- Rate shown
- Published commercial rate for routine EEG, awake and asleep (95819).
- Method
- Eligible rates are grouped by payer and billing entity so the benchmarks use a consistent service and billing basis.
The state map uses one consistent Aetna reference series; it does not average already-aggregated payer values. The service-line table keeps unlike codes, settings, and billing units in separate comparisons.
How do specific neurology providers compare?
Compare named provider rates with the selected payer's median and percentile distribution.
National: Neurology provider rates by payer (CPT 95819)
| Provider entity | State | Size | $ per service | Gap to median | Position in Aetna range |
|---|---|---|---|---|---|
| VIRTUAL NEUROLOGY TEXAS PLLCNPI 1003017427 · Tax ID 844233151 | FL | 208 | $213.18 | -$310.59 | Below P25 |
| SYMPHONY SPECIALTY GROUP LLCNPI 1881995140 · Tax ID 882438064 | FL | 6 | $352.35 | -$171.42 | Below P25 |
| KENT COUNTY MEMORIAL HOSPITALNPI 1386643294 · Tax ID 050258896 | RI | 670 | $415.46 | -$108.32 | Below P25 |
| BRIAN APATOFFNPI 1528155611 | NY | - | $460.42 | -$63.35 | P25 to median |
| CONTINENTAL MEDICAL GROUPNPI 1023099124 · Tax ID 113088782 | NY | 2 | Median to P75 | ||
| THE VANCOUVER CLINIC, INC., PSNPI 1053721571 · Tax ID 910851599 | WA | 1,013 | Above P75 |
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No trial or data preparation required.How reimbursement changes across neurology services
Keep diagnostic studies, procedures, office visits, and drug units separated so each comparison represents the same billed service.
| Service line / billing code | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
$ per service · 4 codes | ||||
95700EEG setup and patient education | $275.56 | $503.22 | $451.71 | $592.25 |
95720EEG monitoring with review and report | $300.19 | $411.90 | $417.83 | $451.06 |
95816Routine EEG, awake and drowsy | $521.28 | $726.16 | $714.88 | $778.66 |
95819Routine EEG, awake and asleep | $602.72 | $832.26 | $835.40 | $890.40 |
$ per service · 8 codes | ||||
95885Limited needle EMG with nerve conduction study | $89.26 | $123.92 | $122.70 | $140.84 |
95886Complete needle EMG with nerve conduction study | $138.77 | $192.56 | $190.68 | $216.81 |
95908Nerve conduction studies, 3-4 studies | $170.73 | $233.67 | $237.96 | $269.73 |
95909Nerve conduction studies, 5-6 studies | $203.68 | $280.16 | $285.98 | $323.06 |
95910Nerve conduction studies, 7-8 studies | $268.02 | $367.66 | $376.15 | $423.42 |
95911Nerve conduction studies, 9-10 studies | $322.36 | $442.10 | $451.46 | $509.89 |
95912Nerve conduction studies, 11-12 studies | $371.29 | $511.11 | $519.80 | $583.34 |
95913Nerve conduction studies, 13 or more studies | $431.18 | $592.24 | $601.07 | $673.99 |
$ per service · 1 code | ||||
64615Chemodenervation for chronic migraine | $212.18 | $308.32 | $323.31 | $313.24 |
$ per visit · 6 codes | ||||
99203New patient office visit, low level | $121.66 | $171.40 | $190.17 | $200.21 |
99204New patient office visit, moderate level | $189.34 | $265.91 | $288.02 | $305.36 |
99205New patient office visit, high level | $245.95 | $346.06 | $367.64 | $391.84 |
99213Established patient office visit, low level | $89.43 | $127.03 | $135.68 | $142.17 |
99214Established patient office visit, moderate level | $130.73 | $185.13 | $196.19 | $203.57 |
99215Established patient office visit, high level | $183.60 | $263.22 | $267.34 | $284.58 |
$ per HCPCS unit · 1 code | ||||
J0585OnabotulinumtoxinA, one unit | $8.39 | $6.81 | $7.67 | $9.82 |
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Book a 20-min scoping call No trial or data preparation required.How these neurology rates are calculated
Use this methodology to understand what each published rate represents and which billing details must match before comparing neurology services.
- Rate sourceEach value is a payer-published negotiated or fee-schedule amount for professional neurology billing, not a claim, charge, or estimate of total allowed spending.
- Rate calculationOne modal value is selected per NPI and TIN entity before trimming two percent from each tail. National and state summaries are not weighted by service volume.
- Billing componentsThis initial view includes records without a reported modifier. Professional-component, technical-component, and global rates should not be blended.
- Drug unitsJ0585 is reported per HCPCS unit and remains separate from the 64615 administration procedure.
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Explore neurology rates by state
Choose a state to compare payer reference averages for common services.
How to interpret neurology rates
How to interpret the selected market and payer-published rates.
Which neurology services are included?
The report includes common EEG, nerve conduction, EMG, chemodenervation, evaluation and management, and botulinum toxin drug codes.
Are professional-component rates included?
This initial view uses professional billing records without a reported modifier. Rates reported with modifier 26 or another component modifier should be compared separately.
Does the rate for CPT 64615 include botulinum toxin?
No. CPT 64615 represents the chemodenervation procedure. J0585 represents the botulinum toxin drug and is reported separately per HCPCS unit.
How are named neurology providers selected?
The public table shows billing entities sampled from different points in each payer's published rate range. An entity may represent an individual clinician, group, health system, or another billing organization.
What should be aligned before comparing neurology rates?
Match the exact code, modifier, billing component, drug units, site of service, payer product, network, and contract period.