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CPT code 95813: EEG recording, 61–119 minutes2026 Medicare rate & RVUs in Iowa

Report this extended EEG service for a diagnostic recording lasting 61–119 minutes, such as evaluation of suspected seizures or episodic altered awareness.

CMS RVU26DEffective Oct 1, 2026One payment locality27.7K Medicare services in 2024

In Iowa, Medicare pays $441.42 for 95813 in the office.

$441.42Office (non-facility)
Not available in this settingHospital or facility
−8.0%vs the national office rate ($479.64)

Check a contract rate as a % of Medicare · 95813 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 95813 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 95813 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 95813 covers

This service covers an extended scalp electroencephalogram recording, with cerebral electrical activity acquired for 61 through 119 minutes. It may be used when a clinician needs a longer diagnostic sample, such as when evaluating suspected seizures, spells of altered awareness, or abnormal mental status. An EEG technologist typically applies the electrodes and acquires the tracing in an outpatient EEG laboratory or hospital; a qualified physician reviews and interprets it.

Select the code from the actual EEG recording duration, not the appointment length or interpretation time. A 41–60-minute recording falls under 95812; other EEG codes may be selected based on the recorded sleep or wake state or clinical circumstance. Documentation should identify the indication, recording duration, technical circumstances, and physician interpretation. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or no component modifier for 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 Iowa compares for 95813

Across 109 of 109 payment localities, the office rate for 95813 runs from $418.31 in Arkansas to $669.93 in San Benito County, CA. Iowa pays $441.42. The RVUs are the same everywhere; the geographic indexes change the dollars.

95813 in Iowa vs other payment areas
  1. Iowa · this page$441.42
  2. Los Angeles, CA · California$557.60+$116.18
  3. Washington, DC area · District of Columbia$558.00+$116.58
  4. Miami, FL · Florida$503.03+$61.61
  5. Chicago, IL · Illinois$487.31+$45.89
  6. Manhattan, NY · New York$553.70+$112.28
  7. Alaska · Alaska$532.44+$91.02

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

Every other payment area

95813 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$425.25—
ArkansasArkansas$418.31—
ArizonaArizona$466.00—
Bakersfield, CACalifornia$519.54—
Chico, CACalifornia$519.14—
El Centro, CACalifornia$519.16—
Fresno, CACalifornia$519.14—
Hanford, CACalifornia$519.14—

95813 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.

$418.31

$594.54

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

View every state and territory as a table
95813 office rate range by state
State / territoryOffice rate rangeLocalities
AK$532.441
AL$425.251
AR$418.311
AZ$466.001
CA$519.14–$669.9329
CO$506.371
CT$514.001
DC$558.001
DE$474.451
FL$463.12–$503.033
GA$434.92–$487.342
GU$535.651
HI$535.651
IA$441.421
ID$443.831
IL$445.25–$494.484
IN$446.831
KS$437.221
KY$432.541
LA$431.03–$455.332
MA$502.02–$563.142
MD$484.91–$558.003
ME$444.43–$474.372
MI$443.51–$467.642
MN$489.031
MO$421.41–$459.433
MS$420.051
MT$479.631
NC$449.971
ND$477.261
NE$444.711
NH$496.401
NJ$520.95–$550.732
NM$445.481
NV$479.391
NY$457.39–$566.165
OH$443.031
OK$433.681
OR$476.76–$526.232
PA$444.88–$498.662
PR$484.211
RI$494.141
SC$447.031
SD$476.981
TN$439.451
TX$441.45–$503.728
UT$453.961
VA$471.30–$558.002
VI$484.211
VT$473.451
WA$501.71–$577.232
WI$459.171
WV$426.191
WY$478.591

See 95813 in every payment locality

How the 95813 rate is calculated

Each of 95813’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 · 95813

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.63

1.63 RVUs× 1.000 GPCI

Practice expense12.61

12.61 RVUs× 1.000 GPCI

Malpractice0.12

0.12 RVUs× 1.000 GPCI

Adjusted RVUs

14.3600

Conversion factor

$33.4009

Medicare rate

$479.64

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

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,553

Code
95813
Physician work
1.63
Practice expense
12.61
Malpractice
0.12

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 95813 in Iowa
ComponentRVULocality factorAdjusted
Physician work1.63× 1.0001.6300
Practice expense12.61× 0.91511.5381
Malpractice0.12× 0.3970.0476
Total RVUs13.2158
Conversion factor× 33.4009

Office rate, Iowa$441.42

Office: (1.63 × 1 + 12.61 × 0.915 + 0.12 × 0.397) × $33.4009 = $441.42

Open 95813 in the RVU calculator

Payment rules and modifiers for 95813

The CMS indicators that decide how 95813 is paid alongside other services.

CMS payment indicators · 95813

EEG recording, 61–119 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

95813 without 26 · national office

$479.64

EEG recording, 61–119 minutes

95813-26 · Professional component

$88.18

Pays only the interpretation and report.

When to use modifier 26

Codes related to 95813

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

Codes related to 95813
CodeHow it relatesOffice range, Iowa
Same family
95812EEG monitoring, 41–60 minutesEEG duration sibling for recordings lasting 41–60 minutes.$352.05
Used instead
95816EEG, awake and drowsyUsed for an EEG capturing awake and drowsy states.$379.61
95819EEG, awake and asleep recordingUsed for an EEG capturing both awake and asleep states.$442.39
95822EEG, sleep or coma onlyUsed when the EEG is performed in coma or during sleep only.$410.17

How 95813 has changed in Iowa

95813 · Office / nonfacility

$441.42

Effective 2026-10-01

The base rate is $45.82 higher than on 2025-10-01, moving from $395.60 to $441.42 (11.6%).

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

    $395.60changed to$441.42

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 11.56 changed to 12.61
    • Malpractice RVU 0.10 changed to 0.12
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $407.11changed to$395.60

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 11.55 changed to 11.56
    • Malpractice RVU 0.12 changed to 0.10

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $400.46changed to$407.11

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $398.56changed to$400.46

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 11.08 changed to 11.55
    • Malpractice RVU 0.11 changed to 0.12
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $402.33changed to$398.56

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.96 changed to 11.08
    • Malpractice RVU 0.13 changed to 0.11
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $397.44changed to$402.33

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.70 changed to 10.96

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $381.27changed to$397.44

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.79 changed to 10.70
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $376.66changed to$381.27

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.67 changed to 9.79
    • Malpractice RVU 0.12 changed to 0.13
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $379.19changed to$376.66

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.76 changed to 9.67

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $377.07changed to$379.19

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.78 changed to 9.76
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $388.07changed to$377.07

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 1.73 changed to 1.63
    • Practice expense RVU 10.10 changed to 9.78
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $458.87changed to$388.07

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 12.25 changed to 10.10
    • Malpractice RVU 0.13 changed to 0.12

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $456.59changed to$458.87

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $457.84changed to$456.59

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 12.33 changed to 12.25
    • Malpractice RVU 0.11 changed to 0.13
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $467.07changed to$457.84

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 13.47 changed to 12.33
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $467.07

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$441.42Not available in this settingRVU26D
2026-07-01$441.42Not available in this settingRVU26C
2026-04-01$441.42Not available in this settingRVU26B
2026-01-01$441.42Not available in this settingRVU26A
2025-10-01$395.60Not available in this settingRVU25D
2025-07-01$395.60Not available in this settingRVU25C
2025-04-01$395.60Not available in this settingRVU25B
2025-01-01$395.60Not available in this settingRVU25A
2024-10-01$407.11Not available in this settingRVU24D
2024-07-01$407.11Not available in this settingRVU24C
2024-04-01$407.11Not available in this settingRVU24B
2024-03-09$407.11Not available in this settingRVU24AR
2024-01-01$400.46Not available in this settingRVU24A
2023-10-01$398.56Not available in this settingRVU23D
2023-07-01$398.56Not available in this settingRVU23C
2023-04-01$398.56Not available in this settingRVU23B
2023-01-01$398.56Not available in this settingRVU23A
2022-10-01$402.33Not available in this settingRVU22D
2022-07-01$402.33Not available in this settingRVU22C
2022-04-01$402.33Not available in this settingRVU22B
2022-01-01$402.33Not available in this settingRVU22A
2021-10-01$397.44Not available in this settingRVU21D
2021-07-01$397.44Not available in this settingRVU21C
2021-04-01$397.44Not available in this settingRVU21B
2021-01-01$397.44Not available in this settingRVU21A
2020-10-01$381.27Not available in this settingRVU20D
2020-07-01$381.27Not available in this settingRVU20C
2020-04-01$381.27Not available in this settingRVU20B
2020-01-01$381.27Not available in this settingRVU20A
2019-10-01$376.66Not available in this settingRVU19D
2019-07-01$376.66Not available in this settingRVU19C
2019-04-01$376.66Not available in this settingRVU19B
2019-01-01$376.66Not available in this settingRVU19A
2018-10-01$379.19Not available in this settingRVU18D
2018-07-01$379.19Not available in this settingRVU18C
2018-04-01$379.19Not available in this settingRVU18B
2018-01-01$379.19Not available in this settingRVU18AR1
2017-10-01$377.07Not available in this settingRVU17D
2017-07-01$377.07Not available in this settingRVU17C
2017-04-01$377.07Not available in this settingRVU17B
2017-01-01$377.07Not available in this settingRVU17A
2016-10-01$388.07Not available in this settingRVU16D
2016-07-01$388.07Not available in this settingRVU16C
2016-04-01$388.07Not available in this settingRVU16B
2016-01-01$388.07Not available in this settingRVU16A
2015-10-01$458.87Not available in this settingRVU15D
2015-07-01$458.87Not available in this settingRVU15C
2015-04-01$456.59Not available in this settingRVU15B
2015-01-01$456.59Not available in this settingRVU15A
2014-10-01$457.84Not available in this settingRVU14D
2014-07-01$457.84Not available in this settingRVU14C
2014-04-01$457.84Not available in this settingRVU14B
2014-01-01$457.84Not available in this settingRVU14A
2013-10-01$467.07Not available in this settingRVU13D
2013-07-01$467.07Not available in this settingRVU13C
2013-04-01$467.07Not available in this settingRVU13B
2013-01-01$467.07Not available in this settingRVU13AR

Price 95813 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

95813 billing questions

When does 95813 apply instead of 95812?

Use 95813 for an EEG recording lasting 61–119 minutes. A 41–60-minute recording falls under 95812.

Should the appointment length determine the code?

No. Select the code using the EEG recording duration, rather than the time spent checking in, applying electrodes, or discussing results.

How are the professional and technical portions reported?

Use modifier 26 for the professional interpretation and modifier TC for the technical portion involving equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports 95813?

Document the clinical indication, the EEG recording duration, the technical circumstances, and the physician's interpretation.

How does 95813 differ from an awake-and-asleep EEG?

95813 is selected by recording duration. Codes such as 95819 describe an EEG capturing specified wake and sleep states, so the recorded state and service circumstances guide that choice.

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 95813PPRRVU2026_Oct_nonQPP.csv, line 12,553 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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