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

In South Dakota, Medicare pays $476.98 for 95813 in the office.

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.

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 South Dakota 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. South Dakota pays $476.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

95813 rates by state

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

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.

Payment rules and modifiers for 95813

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

What modifiers do to the payment

When to use modifier 26

Codes related to 95813

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

How 95813 has changed in South Dakota

Price 95813 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates