FeeBase
Log inGet started
Menu

CPT code 95812: EEG monitoring, 41–60 minutes2026 Medicare rate & RVUs in Queens, NY

Reports an extended electroencephalogram with 41–60 minutes of recording, used to evaluate suspected seizures, altered awareness, or other cerebral dysfunction.

CMS RVU26DEffective Oct 1, 2026One payment locality22.3K Medicare services in 2024

In Queens, NY, Medicare pays $449.36 for 95812 in the office.

$449.36Office (non-facility)
Not available in this settingHospital or facility
+17.3%vs the national office rate ($383.11)

Check a contract rate as a % of Medicare · 95812 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 95812 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 95812 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 95812 covers

This service records electrical activity from the brain, typically through scalp electrodes, for 41–60 minutes. EEG technologists commonly obtain the recording in a hospital or outpatient neurodiagnostic laboratory, while a physician—often a neurologist—interprets the tracing and prepares a report. The study may help evaluate suspected seizures, episodic altered awareness, or encephalopathy when a longer recording is needed than a shorter routine EEG provides.

Select the code based on the EEG recording duration, not the time spent interpreting it: the documented recording must fall within 41–60 minutes. The record should support the duration and include the interpreted findings and report. CMS separately prices the professional interpretation component with modifier 26 and the technical component, including equipment and staff, with modifier TC. Reporting the code without either modifier represents the global service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Queens, NY compares for 95812

Across 109 of 109 payment localities, the office rate for 95812 runs from $333.14 in Arkansas to $537.74 in San Benito County, CA. Queens, NY pays $449.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

95812 in Queens, NY vs other payment areas
  1. Queens, NY · this page$449.36
  2. Manhattan, NY · New York$442.91−$6.45
  3. NYC suburbs and Long Island, NY · New York$453.01+$3.65
  4. Poughkeepsie and northern NYC suburbs, NY · New York$418.05−$31.31
  5. Rest of New York · New York$365.01−$84.35
  6. Los Angeles, CA · California$446.53−$2.83
  7. Washington, DC area · District of Columbia$446.63−$2.73

Other areas in New York first, then benchmark localities. Bars start at $0.

Every other payment area

95812 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$401.81—
Chicago, ILIllinois$388.97—
AlaskaAlaska$422.16—
AlabamaAlabama$338.80—
ArkansasArkansas$333.14—
ArizonaArizona$372.01—
Bakersfield, CACalifornia$415.65—
Chico, CACalifornia$415.35—

95812 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$333.14

$476.55

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
95812 office rate range by state
State / territoryOffice rate rangeLocalities
AK$422.161
AL$338.801
AR$333.141
AZ$372.011
CA$415.35–$537.7429
CO$404.901
CT$410.951
DC$446.631
DE$378.861
FL$369.48–$401.813
GA$346.53–$389.332
GU$428.971
HI$428.971
IA$352.051
ID$354.001
IL$354.87–$394.974
IN$356.451
KS$348.591
KY$344.671
LA$343.42–$363.222
MA$401.31–$451.002
MD$387.35–$446.633
ME$354.45–$378.902
MI$353.57–$373.132
MN$390.971
MO$335.55–$366.603
MS$334.501
MT$383.101
NC$358.971
ND$381.321
NE$354.751
NH$396.841
NJ$416.49–$440.632
NM$355.161
NV$382.951
NY$365.01–$453.015
OH$353.201
OK$345.631
OR$380.84–$421.102
PA$354.73–$398.442
PR$386.851
RI$394.821
SC$356.511
SD$381.111
TN$350.411
TX$351.93–$402.798
UT$362.161
VA$376.38–$446.632
VI$386.851
VT$378.181
WA$401.09–$462.462
WI$366.581
WV$339.341
WY$382.331

See 95812 in every payment locality

How the 95812 rate is calculated

Each of 95812’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 95812

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.08

1.08 RVUs× 1.000 GPCI

Practice expense10.30

10.30 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

11.4700

Conversion factor

$33.4009

Medicare rate

$383.11

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,550

Code
95812
Physician work
1.08
Practice expense
10.30
Malpractice
0.09

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 95812 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work1.08× 1.0641.1491
Practice expense10.30× 1.18212.1746
Malpractice0.09× 1.4420.1298
Total RVUs13.4535
Conversion factor× 33.4009

Office rate, Queens, NY$449.36

Office: (1.08 × 1.064 + 10.3 × 1.182 + 0.09 × 1.442) × $33.4009 = $449.36

Open 95812 in the RVU calculator

Payment rules and modifiers for 95812

The CMS indicators that decide how 95812 is paid alongside other services.

CMS payment indicators · 95812

EEG monitoring, 41–60 minutes

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

95812 without 26 · national office

$383.11

EEG monitoring, 41–60 minutes

95812-26 · Professional component

$58.45

Pays only the interpretation and report.

When to use modifier 26

Codes related to 95812

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 95812
CodeHow it relatesOffice range, Queens, NY
Same family
95813EEG recording, 61–119 minutesSibling extended EEG code for a longer 61–119-minute recording.$561.55
Used instead
95816EEG, awake and drowsyUsed for EEG recording in awake and drowsy states rather than selection by extended duration.$485.49
95819EEG, awake and asleep recordingUsed when the EEG includes awake and asleep recording.$566.91

How 95812 has changed in Queens, NY

95812 · Office / nonfacility

$449.36

Effective 2026-10-01

The base rate is $50.44 higher than on 2025-10-01, moving from $398.92 to $449.36 (12.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $398.92changed to$449.36

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 9.26 changed to 10.30
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $414.60changed to$398.92

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.35 changed to 9.26
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $407.83changed to$414.60

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $420.63changed to$407.83

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.16 changed to 9.35
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $434.90changed to$420.63

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.11 changed to 9.16
    • Malpractice RVU 0.09 changed to 0.08
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $432.08changed to$434.90

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.96 changed to 9.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $404.18changed to$432.08

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.13 changed to 8.96
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $394.33changed to$404.18

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.03 changed to 8.13
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $392.61changed to$394.33

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.00 changed to 8.03

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $391.05changed to$392.61

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.99 changed to 8.00
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $420.76changed to$391.05

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.69 changed to 7.99
    • Malpractice RVU 0.09 changed to 0.08
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $505.08changed to$420.76

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.63 changed to 8.69
    • Malpractice RVU 0.08 changed to 0.09

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $502.57changed to$505.08

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $515.46changed to$502.57

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 10.96 changed to 10.63
    • Malpractice RVU 0.07 changed to 0.08
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $537.38changed to$515.46

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 12.17 changed to 10.96
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $537.38

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$449.36Not available in this settingRVU26D
2026-07-01$449.36Not available in this settingRVU26C
2026-04-01$449.36Not available in this settingRVU26B
2026-01-01$449.36Not available in this settingRVU26A
2025-10-01$398.92Not available in this settingRVU25D
2025-07-01$398.92Not available in this settingRVU25C
2025-04-01$398.92Not available in this settingRVU25B
2025-01-01$398.92Not available in this settingRVU25A
2024-10-01$414.60Not available in this settingRVU24D
2024-07-01$414.60Not available in this settingRVU24C
2024-04-01$414.60Not available in this settingRVU24B
2024-03-09$414.60Not available in this settingRVU24AR
2024-01-01$407.83Not available in this settingRVU24A
2023-10-01$420.63Not available in this settingRVU23D
2023-07-01$420.63Not available in this settingRVU23C
2023-04-01$420.63Not available in this settingRVU23B
2023-01-01$420.63Not available in this settingRVU23A
2022-10-01$434.90Not available in this settingRVU22D
2022-07-01$434.90Not available in this settingRVU22C
2022-04-01$434.90Not available in this settingRVU22B
2022-01-01$434.90Not available in this settingRVU22A
2021-10-01$432.08Not available in this settingRVU21D
2021-07-01$432.08Not available in this settingRVU21C
2021-04-01$432.08Not available in this settingRVU21B
2021-01-01$432.08Not available in this settingRVU21A
2020-10-01$404.18Not available in this settingRVU20D
2020-07-01$404.18Not available in this settingRVU20C
2020-04-01$404.18Not available in this settingRVU20B
2020-01-01$404.18Not available in this settingRVU20A
2019-10-01$394.33Not available in this settingRVU19D
2019-07-01$394.33Not available in this settingRVU19C
2019-04-01$394.33Not available in this settingRVU19B
2019-01-01$394.33Not available in this settingRVU19A
2018-10-01$392.61Not available in this settingRVU18D
2018-07-01$392.61Not available in this settingRVU18C
2018-04-01$392.61Not available in this settingRVU18B
2018-01-01$392.61Not available in this settingRVU18AR1
2017-10-01$391.05Not available in this settingRVU17D
2017-07-01$391.05Not available in this settingRVU17C
2017-04-01$391.05Not available in this settingRVU17B
2017-01-01$391.05Not available in this settingRVU17A
2016-10-01$420.76Not available in this settingRVU16D
2016-07-01$420.76Not available in this settingRVU16C
2016-04-01$420.76Not available in this settingRVU16B
2016-01-01$420.76Not available in this settingRVU16A
2015-10-01$505.08Not available in this settingRVU15D
2015-07-01$505.08Not available in this settingRVU15C
2015-04-01$502.57Not available in this settingRVU15B
2015-01-01$502.57Not available in this settingRVU15A
2014-10-01$515.46Not available in this settingRVU14D
2014-07-01$515.46Not available in this settingRVU14C
2014-04-01$515.46Not available in this settingRVU14B
2014-01-01$515.46Not available in this settingRVU14A
2013-10-01$537.38Not available in this settingRVU13D
2013-07-01$537.38Not available in this settingRVU13C
2013-04-01$537.38Not available in this settingRVU13B
2013-01-01$537.38Not available in this settingRVU13AR

Price 95812 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

95812 billing questions

When should 95812 be selected instead of 95813?

Use 95812 when the EEG recording lasts 41–60 minutes. A recording lasting 61–119 minutes falls in 95813.

Is the code selected by interpretation time?

No. The time distinction is based on the EEG recording duration; document the recording time in the study record.

How are the professional and technical portions reported?

Report modifier 26 for the professional interpretation or modifier TC for the technical service. Without either modifier, the code represents the global service.

How does 95812 differ from 95816?

95812 identifies an extended EEG by its 41–60-minute recording duration. 95816 describes an EEG performed in awake and drowsy states.

What documentation supports 95812?

Document the EEG recording duration, the study findings, and the interpreting physician’s report. The recorded duration should support the 41–60-minute range.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 95812PPRRVU2026_Oct_nonQPP.csv, line 12,550 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 95812 pays in Queens, NY?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 95812 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist