CPT code 95864: Needle EMG, four extremities2026 Medicare rate & RVUs in Idaho
Reports needle electromyography sampling across all four extremities to evaluate suspected peripheral nerve, nerve root, motor neuron, or muscle disorders.
In Idaho, Medicare pays $225.09 for 95864 in the office.
Check a contract rate as a % of Medicare · 95864 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 95864 covers
A clinician inserts a fine needle electrode into selected muscles in all four limbs and records electrical activity at rest and during muscle contraction. The findings help evaluate conditions such as radiculopathy, peripheral neuropathy, motor neuron disease, or myopathy. Neurologists and physical medicine and rehabilitation physicians commonly perform or interpret the study in outpatient electrodiagnostic laboratories and hospital settings; relevant paraspinal muscles may also be sampled when clinically indicated.
Choose this code when the needle examination covers all four extremities, rather than fewer limbs or a limited muscle sample. The report should identify the limbs and muscles examined, relevant findings, and the clinical question addressed. CMS recognizes a professional interpretation component and a technical component for equipment and staff: report modifier 26 for the professional component, modifier TC for the technical component, or neither 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 Idaho compares for 95864
Across 109 of 109 payment localities, the office rate for 95864 runs from $214.68 in Arkansas to $322.55 in San Benito County, CA. Idaho pays $225.09. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Idaho · this page$225.09
- Los Angeles, CA · California$273.73+$48.64
- Washington, DC area · District of Columbia$275.06+$49.97
- Miami, FL · Florida$252.16+$27.07
- Chicago, IL · Illinois$245.70+$20.61
- Manhattan, NY · New York$274.37+$49.28
- Alaska · Alaska$282.76+$57.67
Other areas in Idaho first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $217.60 | — |
| ArkansasArkansas | $214.68 | — |
| ArizonaArizona | $234.70 | — |
| Bakersfield, CACalifornia | $257.12 | — |
| Chico, CACalifornia | $256.77 | — |
| El Centro, CACalifornia | $256.79 | — |
| Fresno, CACalifornia | $256.77 | — |
| Hanford, CACalifornia | $256.77 | — |
| Madera, CACalifornia | $256.77 | — |
| Merced, CACalifornia | $256.77 | — |
| Modesto, CACalifornia | $256.77 | — |
| Napa, CACalifornia | $298.00 | — |
| Oxnard, CACalifornia | $272.60 | — |
| Redding, CACalifornia | $256.77 | — |
| Rest of CaliforniaCalifornia | $256.77 | — |
| Riverside, CACalifornia | $257.79 | — |
| Sacramento, CACalifornia | $269.57 | — |
| Salinas, CACalifornia | $268.56 | — |
| San Diego, CACalifornia | $274.90 | — |
| Marin County, CACalifornia | $315.82 | — |
| San Francisco, CACalifornia | $315.71 | — |
| San Benito County, CACalifornia | $322.55 | — |
| Santa Clara County, CACalifornia | $322.13 | — |
| San Luis Obispo, CACalifornia | $264.20 | — |
| Santa Cruz, CACalifornia | $277.58 | — |
| Santa Maria, CACalifornia | $269.57 | — |
| Santa Rosa, CACalifornia | $280.41 | — |
| Stockton, CACalifornia | $256.77 | — |
| Vallejo, CACalifornia | $297.86 | — |
| Visalia, CACalifornia | $256.77 | — |
| Yuba City, CACalifornia | $256.77 | — |
| ColoradoColorado | $251.66 | — |
| ConnecticutConnecticut | $255.71 | — |
| DelawareDelaware | $238.43 | — |
| Fort Lauderdale, FLFlorida | $245.16 | — |
| Rest of FloridaFlorida | $234.40 | — |
| Atlanta, GAGeorgia | $244.05 | — |
| Rest of GeorgiaGeorgia | $222.41 | — |
| Hawaii, Guam, HIHawaii | $262.88 | — |
| IowaIowa | $224.00 | — |
| East St. Louis, ILIllinois | $229.72 | — |
| Rest of IllinoisIllinois | $227.16 | — |
| Suburban Chicago, ILIllinois | $247.92 | — |
| IndianaIndiana | $226.34 | — |
| KansasKansas | $222.42 | — |
| KentuckyKentucky | $221.06 | — |
| New Orleans, LALouisiana | $230.71 | — |
| Rest of LouisianaLouisiana | $220.50 | — |
| Metropolitan Boston, MAMassachusetts | $276.31 | — |
| Rest of MassachusettsMassachusetts | $250.07 | — |
| Baltimore area, MDMaryland | $254.84 | — |
| Rest of MarylandMaryland | $242.96 | — |
| Rest of MaineMaine | $225.54 | — |
| Southern Maine, MEMaine | $237.82 | — |
| Detroit, MIMichigan | $236.50 | — |
| Rest of MichiganMichigan | $225.85 | — |
| MinnesotaMinnesota | $243.38 | — |
| Metropolitan Kansas City, MOMissouri | $229.88 | — |
| Metropolitan St. Louis, MOMissouri | $232.20 | — |
| Rest of MissouriMissouri | $216.58 | — |
| MississippiMississippi | $215.70 | — |
| MontanaMontana | $240.48 | — |
| North CarolinaNorth Carolina | $227.83 | — |
| North DakotaNorth Dakota | $238.70 | — |
| NebraskaNebraska | $225.32 | — |
| New HampshireNew Hampshire | $247.19 | — |
| Northern New JerseyNew Jersey | $272.40 | — |
| Rest of New JerseyNew Jersey | $259.26 | — |
| New MexicoNew Mexico | $226.76 | — |
| NevadaNevada | $240.16 | — |
| NYC suburbs and Long Island, NYNew York | $279.85 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $260.44 | — |
| Queens, NYNew York | $277.39 | — |
| Rest of New YorkNew York | $230.96 | — |
| OhioOhio | $225.49 | — |
| OklahomaOklahoma | $221.34 | — |
| Portland, OROregon | $259.92 | — |
| Rest of OregonOregon | $238.90 | — |
| Metropolitan Philadelphia, PAPennsylvania | $249.31 | — |
| Rest of PennsylvaniaPennsylvania | $226.16 | — |
| Puerto RicoPuerto Rico | $242.34 | — |
| Rhode IslandRhode Island | $247.09 | — |
| South CarolinaSouth Carolina | $226.91 | — |
| South DakotaSouth Dakota | $238.49 | — |
| TennesseeTennessee | $223.38 | — |
| Austin, TXTexas | $250.29 | — |
| Beaumont, TXTexas | $224.73 | — |
| Brazoria, TXTexas | $238.79 | — |
| Dallas, TXTexas | $239.95 | — |
| Fort Worth, TXTexas | $238.26 | — |
| Galveston, TXTexas | $239.28 | — |
| Houston, TXTexas | $240.93 | — |
| Rest of TexasTexas | $231.39 | — |
| UtahUtah | $229.82 | — |
| VirginiaVirginia | $236.67 | — |
| Virgin Islands, VIUnited States Virgin Islands | $242.34 | — |
| VermontVermont | $237.27 | — |
| Rest of WashingtonWashington | $249.76 | — |
| King County, WAWashington | $282.38 | — |
| WisconsinWisconsin | $231.15 | — |
| West VirginiaWest Virginia | $219.16 | — |
| WyomingWyoming | $239.70 | — |
95864 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$214.68
$289.66
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $282.76 | 1 |
| AL | $217.60 | 1 |
| AR | $214.68 | 1 |
| AZ | $234.70 | 1 |
| CA | $256.77–$322.55 | 29 |
| CO | $251.66 | 1 |
| CT | $255.71 | 1 |
| DC | $275.06 | 1 |
| DE | $238.43 | 1 |
| FL | $234.40–$252.16 | 3 |
| GA | $222.41–$244.05 | 2 |
| GU | $262.88 | 1 |
| HI | $262.88 | 1 |
| IA | $224.00 | 1 |
| ID | $225.09 | 1 |
| IL | $227.16–$247.92 | 4 |
| IN | $226.34 | 1 |
| KS | $222.42 | 1 |
| KY | $221.06 | 1 |
| LA | $220.50–$230.71 | 2 |
| MA | $250.07–$276.31 | 2 |
| MD | $242.96–$275.06 | 3 |
| ME | $225.54–$237.82 | 2 |
| MI | $225.85–$236.50 | 2 |
| MN | $243.38 | 1 |
| MO | $216.58–$232.20 | 3 |
| MS | $215.70 | 1 |
| MT | $240.48 | 1 |
| NC | $227.83 | 1 |
| ND | $238.70 | 1 |
| NE | $225.32 | 1 |
| NH | $247.19 | 1 |
| NJ | $259.26–$272.40 | 2 |
| NM | $226.76 | 1 |
| NV | $240.16 | 1 |
| NY | $230.96–$279.85 | 5 |
| OH | $225.49 | 1 |
| OK | $221.34 | 1 |
| OR | $238.90–$259.92 | 2 |
| PA | $226.16–$249.31 | 2 |
| PR | $242.34 | 1 |
| RI | $247.09 | 1 |
| SC | $226.91 | 1 |
| SD | $238.49 | 1 |
| TN | $223.38 | 1 |
| TX | $224.73–$250.29 | 8 |
| UT | $229.82 | 1 |
| VA | $236.67–$275.06 | 2 |
| VI | $242.34 | 1 |
| VT | $237.27 | 1 |
| WA | $249.76–$282.38 | 2 |
| WI | $231.15 | 1 |
| WV | $219.16 | 1 |
| WY | $239.70 | 1 |
How the 95864 rate is calculated
Each of 95864’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 · 95864
RVUs × geographic indexes × conversion factor
Work1.94
1.94 RVUs× 1.000 GPCI
Practice expense5.17
5.17 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
7.2000
Conversion factor
$33.4009
Medicare rate
$240.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Idaho inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,585
- Code
- 95864
- Physician work
- 1.94
- Practice expense
- 5.17
- Malpractice
- 0.09
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.94 | × 1.000 | 1.9400 |
| Practice expense | 5.17 | × 0.920 | 4.7564 |
| Malpractice | 0.09 | × 0.473 | 0.0426 |
| Total RVUs | 6.7390 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Idaho$225.09
Office: (1.94 × 1 + 5.17 × 0.92 + 0.09 × 0.473) × $33.4009 = $225.09
Payment rules and modifiers for 95864
The CMS indicators that decide how 95864 is paid alongside other services.
CMS payment indicators · 95864
Needle EMG, four extremities
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
95864 without 26 · national office
$240.49
Needle EMG, four extremities
95864-26 · Professional component
$104.88
Pays only the interpretation and report.
How 95864 has changed in Idaho
95864 · Office / nonfacility
$225.09
Effective 2026-10-01
The base rate is $25.45 higher than on 2025-10-01, moving from $199.64 to $225.09 (12.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$199.64changed to$225.09
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.99 changed to 1.94
- Practice expense RVU 4.56 changed to 5.17
- Practice expense GPCI 0.908 changed to 0.920
- Malpractice GPCI 0.461 changed to 0.473
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$214.22changed to$199.64
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 4.84 changed to 4.56
- Malpractice RVU 0.11 changed to 0.09
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$210.72changed to$214.22
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$216.44changed to$210.72
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 4.87 changed to 4.84
- Practice expense GPCI 0.893 changed to 0.908
- Malpractice GPCI 0.439 changed to 0.461
January 1, 2023
RVU23A
$223.72changed to$216.44
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.05 changed to 4.87
- Practice expense GPCI 0.877 changed to 0.893
- Malpractice GPCI 0.416 changed to 0.439
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$231.69changed to$223.72
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.25 changed to 5.05
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$233.45changed to$231.69
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.98 changed to 5.25
- Malpractice RVU 0.10 changed to 0.11
- Practice expense GPCI 0.890 changed to 0.877
- Malpractice GPCI 0.464 changed to 0.416
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$235.17changed to$233.45
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.96 changed to 4.98
- Malpractice RVU 0.12 changed to 0.10
- Practice expense GPCI 0.902 changed to 0.890
- Malpractice GPCI 0.512 changed to 0.464
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$235.24changed to$235.17
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 4.97 changed to 4.96
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$229.95changed to$235.24
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 4.84 changed to 4.97
- Practice expense GPCI 0.900 changed to 0.902
- Malpractice GPCI 0.510 changed to 0.512
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$223.81changed to$229.95
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 4.66 changed to 4.84
- Malpractice RVU 0.15 changed to 0.12
- Practice expense GPCI 0.898 changed to 0.900
- Malpractice GPCI 0.508 changed to 0.510
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$226.47changed to$223.81
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 4.74 changed to 4.66
- Malpractice RVU 0.11 changed to 0.15
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$225.34changed to$226.47
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$218.28changed to$225.34
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 4.53 changed to 4.74
- Malpractice RVU 0.08 changed to 0.11
- Practice expense GPCI 0.896 changed to 0.898
- Malpractice GPCI 0.556 changed to 0.508
Held through RVU15B.
January 1, 2014
RVU14A
$225.08changed to$218.28
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 5.12 changed to 4.53
- Practice expense GPCI 0.894 changed to 0.896
- Malpractice GPCI 0.603 changed to 0.556
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $225.08
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $225.09 | Not available in this setting | RVU26D |
| 2026-07-01 | $225.09 | Not available in this setting | RVU26C |
| 2026-04-01 | $225.09 | Not available in this setting | RVU26B |
| 2026-01-01 | $225.09 | Not available in this setting | RVU26A |
| 2025-10-01 | $199.64 | Not available in this setting | RVU25D |
| 2025-07-01 | $199.64 | Not available in this setting | RVU25C |
| 2025-04-01 | $199.64 | Not available in this setting | RVU25B |
| 2025-01-01 | $199.64 | Not available in this setting | RVU25A |
| 2024-10-01 | $214.22 | Not available in this setting | RVU24D |
| 2024-07-01 | $214.22 | Not available in this setting | RVU24C |
| 2024-04-01 | $214.22 | Not available in this setting | RVU24B |
| 2024-03-09 | $214.22 | Not available in this setting | RVU24AR |
| 2024-01-01 | $210.72 | Not available in this setting | RVU24A |
| 2023-10-01 | $216.44 | Not available in this setting | RVU23D |
| 2023-07-01 | $216.44 | Not available in this setting | RVU23C |
| 2023-04-01 | $216.44 | Not available in this setting | RVU23B |
| 2023-01-01 | $216.44 | Not available in this setting | RVU23A |
| 2022-10-01 | $223.72 | Not available in this setting | RVU22D |
| 2022-07-01 | $223.72 | Not available in this setting | RVU22C |
| 2022-04-01 | $223.72 | Not available in this setting | RVU22B |
| 2022-01-01 | $223.72 | Not available in this setting | RVU22A |
| 2021-10-01 | $231.69 | Not available in this setting | RVU21D |
| 2021-07-01 | $231.69 | Not available in this setting | RVU21C |
| 2021-04-01 | $231.69 | Not available in this setting | RVU21B |
| 2021-01-01 | $231.69 | Not available in this setting | RVU21A |
| 2020-10-01 | $233.45 | Not available in this setting | RVU20D |
| 2020-07-01 | $233.45 | Not available in this setting | RVU20C |
| 2020-04-01 | $233.45 | Not available in this setting | RVU20B |
| 2020-01-01 | $233.45 | Not available in this setting | RVU20A |
| 2019-10-01 | $235.17 | Not available in this setting | RVU19D |
| 2019-07-01 | $235.17 | Not available in this setting | RVU19C |
| 2019-04-01 | $235.17 | Not available in this setting | RVU19B |
| 2019-01-01 | $235.17 | Not available in this setting | RVU19A |
| 2018-10-01 | $235.24 | Not available in this setting | RVU18D |
| 2018-07-01 | $235.24 | Not available in this setting | RVU18C |
| 2018-04-01 | $235.24 | Not available in this setting | RVU18B |
| 2018-01-01 | $235.24 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $229.95 | Not available in this setting | RVU17D |
| 2017-07-01 | $229.95 | Not available in this setting | RVU17C |
| 2017-04-01 | $229.95 | Not available in this setting | RVU17B |
| 2017-01-01 | $229.95 | Not available in this setting | RVU17A |
| 2016-10-01 | $223.81 | Not available in this setting | RVU16D |
| 2016-07-01 | $223.81 | Not available in this setting | RVU16C |
| 2016-04-01 | $223.81 | Not available in this setting | RVU16B |
| 2016-01-01 | $223.81 | Not available in this setting | RVU16A |
| 2015-10-01 | $226.47 | Not available in this setting | RVU15D |
| 2015-07-01 | $226.47 | Not available in this setting | RVU15C |
| 2015-04-01 | $225.34 | Not available in this setting | RVU15B |
| 2015-01-01 | $225.34 | Not available in this setting | RVU15A |
| 2014-10-01 | $218.28 | Not available in this setting | RVU14D |
| 2014-07-01 | $218.28 | Not available in this setting | RVU14C |
| 2014-04-01 | $218.28 | Not available in this setting | RVU14B |
| 2014-01-01 | $218.28 | Not available in this setting | RVU14A |
| 2013-10-01 | $225.08 | Not available in this setting | RVU13D |
| 2013-07-01 | $225.08 | Not available in this setting | RVU13C |
| 2013-04-01 | $225.08 | Not available in this setting | RVU13B |
| 2013-01-01 | $225.08 | Not available in this setting | RVU13AR |
Where the Idaho rate applies
Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Acequia
- Albion
- American Falls
- Ammon
- Arbon Valley
- Arco
- Arimo
95864 billing questions
When should 95864 be selected instead of 95863?
Use 95864 when the needle examination covers all four extremities. Code 95863 describes a study covering three extremities.
Does 95864 represent four units?
The code represents a needle EMG study of four extremities, not one unit for each limb. Document the limbs and muscles examined.
How are the professional and technical portions reported?
Use modifier 26 for the interpretation and modifier TC for the equipment and staff portion. Report without either modifier when billing the global service.
How does 95864 differ from 95886?
95864 covers needle examination of four extremities. Code 95886 is reported by extremity for a complete needle examination performed with nerve conduction testing.
What documentation supports 95864?
Record the clinical reason for testing, the extremities and muscles sampled, and the examination findings and interpretation. The documentation should support that the study covered all four extremities.
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
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