CPT code 95874: Injection guidance, needle EMG guidance2026 Medicare rate & RVUs in El Centro, CA
Reports needle EMG used to guide muscle selection or needle placement during chemodenervation, such as botulinum toxin injection for focal spasticity or dystonia.
In El Centro, CA, Medicare pays $87.09 for 95874 in the office.
Check a contract rate as a % of Medicare · 95874 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 95874 covers
This service uses needle electromyography to help guide chemodenervation injections into selected muscles. A neurologist or physiatrist may use it during botulinum toxin treatment for conditions such as focal spasticity or dystonia, where identifying or confirming activity in the target muscle helps direct the injection. The guidance is performed as part of the injection encounter, rather than as a standalone diagnostic needle EMG examination.
Report 95874 only with the applicable primary chemodenervation procedure; document the muscles treated and the use of needle EMG to guide the injection. CMS classifies it as an add-on code paid within the primary procedure’s global period. The service has separately priced professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and no modifier represents the global service. The injection itself is reported with its appropriate primary procedure code.
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 El Centro, CA compares for 95874
Across 109 of 109 payment localities, the office rate for 95874 runs from $70.73 in Arkansas to $111.78 in San Benito County, CA. El Centro, CA pays $87.09. The RVUs are the same everywhere; the geographic indexes change the dollars.
- El Centro, CA · this page$87.09
- Bakersfield, CA · California$87.14+$0.05
- Chico, CA · California$87.09
- Fresno, CA · California$87.09
- Hanford, CA · California$87.09
- Los Angeles, CA · California$93.35+$6.26
- Madera, CA · California$87.09
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | $87.09 | — |
| Modesto, CACalifornia | $87.09 | — |
| Napa, CACalifornia | $102.76 | — |
| Oxnard, CACalifornia | $93.11 | — |
| Redding, CACalifornia | $87.09 | — |
| Rest of CaliforniaCalifornia | $87.09 | — |
| Riverside, CACalifornia | $87.20 | — |
| Sacramento, CACalifornia | $91.88 | — |
| Salinas, CACalifornia | $91.55 | — |
| San Diego, CACalifornia | $94.06 | — |
| Marin County, CACalifornia | $109.39 | — |
| San Francisco, CACalifornia | $109.38 | — |
| San Benito County, CACalifornia | $111.78 | — |
| Santa Clara County, CACalifornia | $111.73 | — |
| San Luis Obispo, CACalifornia | $90.02 | — |
| Santa Cruz, CACalifornia | $95.24 | — |
| Santa Maria, CACalifornia | $91.99 | — |
| Santa Rosa, CACalifornia | $96.24 | — |
| Stockton, CACalifornia | $87.09 | — |
| Vallejo, CACalifornia | $102.74 | — |
| Visalia, CACalifornia | $87.09 | — |
| Yuba City, CACalifornia | $87.09 | — |
| Washington, DC areaDistrict of Columbia | $93.31 | — |
| Miami, FLFlorida | $83.80 | — |
| Chicago, ILIllinois | $81.35 | — |
| Manhattan, NYNew York | $92.50 | — |
| AlaskaAlaska | $90.79 | — |
| AlabamaAlabama | $71.83 | — |
| ArkansasArkansas | $70.73 | — |
| ArizonaArizona | $78.34 | — |
| ColoradoColorado | $84.93 | — |
| ConnecticutConnecticut | $86.05 | — |
| DelawareDelaware | $79.70 | — |
| Fort Lauderdale, FLFlorida | $81.65 | — |
| Rest of FloridaFlorida | $77.67 | — |
| Atlanta, GAGeorgia | $81.69 | — |
| Rest of GeorgiaGeorgia | $73.20 | — |
| Hawaii, Guam, HIHawaii | $89.69 | — |
| IowaIowa | $74.50 | — |
| IdahoIdaho | $74.87 | — |
| East St. Louis, ILIllinois | $75.38 | — |
| Rest of IllinoisIllinois | $74.76 | — |
| Suburban Chicago, ILIllinois | $82.68 | — |
| IndianaIndiana | $75.35 | — |
| KansasKansas | $73.79 | — |
| KentuckyKentucky | $72.90 | — |
| New Orleans, LALouisiana | $76.52 | — |
| Rest of LouisianaLouisiana | $72.65 | — |
| Metropolitan Boston, MAMassachusetts | $94.17 | — |
| Rest of MassachusettsMassachusetts | $84.23 | — |
| Baltimore area, MDMaryland | $85.74 | — |
| Rest of MarylandMaryland | $81.41 | — |
| Rest of MaineMaine | $74.92 | — |
| Southern Maine, MEMaine | $79.76 | — |
| Detroit, MIMichigan | $78.34 | — |
| Rest of MichiganMichigan | $74.61 | — |
| MinnesotaMinnesota | $82.24 | — |
| Metropolitan Kansas City, MOMissouri | $76.33 | — |
| Metropolitan St. Louis, MOMissouri | $77.23 | — |
| Rest of MissouriMissouri | $71.08 | — |
| MississippiMississippi | $70.94 | — |
| MontanaMontana | $80.50 | — |
| North CarolinaNorth Carolina | $75.81 | — |
| North DakotaNorth Dakota | $80.30 | — |
| NebraskaNebraska | $75.04 | — |
| New HampshireNew Hampshire | $83.25 | — |
| Northern New JerseyNew Jersey | $92.18 | — |
| Rest of New JerseyNew Jersey | $87.28 | — |
| New MexicoNew Mexico | $74.91 | — |
| NevadaNevada | $80.51 | — |
| NYC suburbs and Long Island, NYNew York | $94.43 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $87.58 | — |
| Queens, NYNew York | $93.81 | — |
| Rest of New YorkNew York | $76.99 | — |
| OhioOhio | $74.57 | — |
| OklahomaOklahoma | $73.13 | — |
| Portland, OROregon | $88.17 | — |
| Rest of OregonOregon | $80.12 | — |
| Metropolitan Philadelphia, PAPennsylvania | $83.57 | — |
| Rest of PennsylvaniaPennsylvania | $74.89 | — |
| Puerto RicoPuerto Rico | $81.24 | — |
| Rhode IslandRhode Island | $82.94 | — |
| South CarolinaSouth Carolina | $75.27 | — |
| South DakotaSouth Dakota | $80.27 | — |
| TennesseeTennessee | $74.14 | — |
| Austin, TXTexas | $84.43 | — |
| Beaumont, TXTexas | $74.34 | — |
| Brazoria, TXTexas | $79.91 | — |
| Dallas, TXTexas | $80.28 | — |
| Fort Worth, TXTexas | $79.61 | — |
| Galveston, TXTexas | $80.06 | — |
| Houston, TXTexas | $80.24 | — |
| Rest of TexasTexas | $76.99 | — |
| UtahUtah | $76.37 | — |
| VirginiaVirginia | $79.24 | — |
| Virgin Islands, VIUnited States Virgin Islands | $81.24 | — |
| VermontVermont | $79.65 | — |
| Rest of WashingtonWashington | $84.18 | — |
| King County, WAWashington | $96.50 | — |
| WisconsinWisconsin | $77.40 | — |
| West VirginiaWest Virginia | $71.71 | — |
| WyomingWyoming | $80.41 | — |
95874 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.
$70.73
$99.44
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 | $90.79 | 1 |
| AL | $71.83 | 1 |
| AR | $70.73 | 1 |
| AZ | $78.34 | 1 |
| CA | $87.09–$111.78 | 29 |
| CO | $84.93 | 1 |
| CT | $86.05 | 1 |
| DC | $93.31 | 1 |
| DE | $79.70 | 1 |
| FL | $77.67–$83.80 | 3 |
| GA | $73.20–$81.69 | 2 |
| GU | $89.69 | 1 |
| HI | $89.69 | 1 |
| IA | $74.50 | 1 |
| ID | $74.87 | 1 |
| IL | $74.76–$82.68 | 4 |
| IN | $75.35 | 1 |
| KS | $73.79 | 1 |
| KY | $72.90 | 1 |
| LA | $72.65–$76.52 | 2 |
| MA | $84.23–$94.17 | 2 |
| MD | $81.41–$93.31 | 3 |
| ME | $74.92–$79.76 | 2 |
| MI | $74.61–$78.34 | 2 |
| MN | $82.24 | 1 |
| MO | $71.08–$77.23 | 3 |
| MS | $70.94 | 1 |
| MT | $80.50 | 1 |
| NC | $75.81 | 1 |
| ND | $80.30 | 1 |
| NE | $75.04 | 1 |
| NH | $83.25 | 1 |
| NJ | $87.28–$92.18 | 2 |
| NM | $74.91 | 1 |
| NV | $80.51 | 1 |
| NY | $76.99–$94.43 | 5 |
| OH | $74.57 | 1 |
| OK | $73.13 | 1 |
| OR | $80.12–$88.17 | 2 |
| PA | $74.89–$83.57 | 2 |
| PR | $81.24 | 1 |
| RI | $82.94 | 1 |
| SC | $75.27 | 1 |
| SD | $80.27 | 1 |
| TN | $74.14 | 1 |
| TX | $74.34–$84.43 | 8 |
| UT | $76.37 | 1 |
| VA | $79.24–$93.31 | 2 |
| VI | $81.24 | 1 |
| VT | $79.65 | 1 |
| WA | $84.18–$96.50 | 2 |
| WI | $77.40 | 1 |
| WV | $71.71 | 1 |
| WY | $80.41 | 1 |
How the 95874 rate is calculated
Each of 95874’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 · 95874
RVUs × geographic indexes × conversion factor
Work0.36
0.36 RVUs× 1.000 GPCI
Practice expense2.04
2.04 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
2.4100
Conversion factor
$33.4009
Medicare rate
$80.50
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact El Centro, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,612
- Code
- 95874
- Physician work
- 0.36
- Practice expense
- 2.04
- Malpractice
- 0.01
GPCI2026.csv
10
- Locality
- El Centro, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.36 | × 1.017 | 0.3661 |
| Practice expense | 2.04 | × 1.096 | 2.2358 |
| Malpractice | 0.01 | × 0.541 | 0.0054 |
| Total RVUs | 2.6074 | ||
| Conversion factor | × 33.4009 | ||
Office rate, El Centro, CA$87.09
Office: (0.36 × 1.017 + 2.04 × 1.096 + 0.01 × 0.541) × $33.4009 = $87.09
Payment rules and modifiers for 95874
The CMS indicators that decide how 95874 is paid alongside other services.
CMS payment indicators · 95874
Injection guidance, needle EMG guidance
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| 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
95874 without 26 · national office
$80.50
Injection guidance, needle EMG guidance
95874-26 · Professional component
$19.71
Pays only the interpretation and report.
How 95874 has changed in El Centro, CA
95874 · Office / nonfacility
$87.09
Effective 2026-10-01
The base rate is $10.42 higher than on 2025-10-01, moving from $76.67 to $87.09 (13.6%).
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
$76.67changed to$87.09
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.37 changed to 0.36
- Practice expense RVU 1.82 changed to 2.04
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.570 changed to 0.541
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$81.81changed to$76.67
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.90 changed to 1.82
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$80.47changed to$81.81
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$83.57changed to$80.47
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.93 changed to 1.90
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.595 changed to 0.570
January 1, 2023
RVU23A
$87.44changed to$83.57
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.01 changed to 1.93
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.620 changed to 0.595
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$89.65changed to$87.44
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.05 changed to 2.01
- Malpractice GPCI 0.616 changed to 0.620
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$85.33changed to$89.65
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.85 changed to 2.05
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.606 changed to 0.616
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$83.30changed to$85.33
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.79 changed to 1.85
- Malpractice RVU 0.02 changed to 0.01
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.570 changed to 0.606
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$81.27changed to$83.30
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.74 changed to 1.79
- Malpractice GPCI 0.567 changed to 0.570
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$79.87changed to$81.27
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.70 changed to 1.74
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.567
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$79.87
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $87.09 | Not available in this setting | RVU26D |
| 2026-07-01 | $87.09 | Not available in this setting | RVU26C |
| 2026-04-01 | $87.09 | Not available in this setting | RVU26B |
| 2026-01-01 | $87.09 | Not available in this setting | RVU26A |
| 2025-10-01 | $76.67 | Not available in this setting | RVU25D |
| 2025-07-01 | $76.67 | Not available in this setting | RVU25C |
| 2025-04-01 | $76.67 | Not available in this setting | RVU25B |
| 2025-01-01 | $76.67 | Not available in this setting | RVU25A |
| 2024-10-01 | $81.81 | Not available in this setting | RVU24D |
| 2024-07-01 | $81.81 | Not available in this setting | RVU24C |
| 2024-04-01 | $81.81 | Not available in this setting | RVU24B |
| 2024-03-09 | $81.81 | Not available in this setting | RVU24AR |
| 2024-01-01 | $80.47 | Not available in this setting | RVU24A |
| 2023-10-01 | $83.57 | Not available in this setting | RVU23D |
| 2023-07-01 | $83.57 | Not available in this setting | RVU23C |
| 2023-04-01 | $83.57 | Not available in this setting | RVU23B |
| 2023-01-01 | $83.57 | Not available in this setting | RVU23A |
| 2022-10-01 | $87.44 | Not available in this setting | RVU22D |
| 2022-07-01 | $87.44 | Not available in this setting | RVU22C |
| 2022-04-01 | $87.44 | Not available in this setting | RVU22B |
| 2022-01-01 | $87.44 | Not available in this setting | RVU22A |
| 2021-10-01 | $89.65 | Not available in this setting | RVU21D |
| 2021-07-01 | $89.65 | Not available in this setting | RVU21C |
| 2021-04-01 | $89.65 | Not available in this setting | RVU21B |
| 2021-01-01 | $89.65 | Not available in this setting | RVU21A |
| 2020-10-01 | $85.33 | Not available in this setting | RVU20D |
| 2020-07-01 | $85.33 | Not available in this setting | RVU20C |
| 2020-04-01 | $85.33 | Not available in this setting | RVU20B |
| 2020-01-01 | $85.33 | Not available in this setting | RVU20A |
| 2019-10-01 | $83.30 | Not available in this setting | RVU19D |
| 2019-07-01 | $83.30 | Not available in this setting | RVU19C |
| 2019-04-01 | $83.30 | Not available in this setting | RVU19B |
| 2019-01-01 | $83.30 | Not available in this setting | RVU19A |
| 2018-10-01 | $81.27 | Not available in this setting | RVU18D |
| 2018-07-01 | $81.27 | Not available in this setting | RVU18C |
| 2018-04-01 | $81.27 | Not available in this setting | RVU18B |
| 2018-01-01 | $81.27 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $79.87 | Not available in this setting | RVU17D |
| 2017-07-01 | $79.87 | Not available in this setting | RVU17C |
| 2017-04-01 | $79.87 | Not available in this setting | RVU17B |
| 2017-01-01 | $79.87 | Not available in this setting | RVU17A |
| 2016-10-01 | Rate data unavailable | Not available in this setting | RVU16D |
| 2016-07-01 | Rate data unavailable | Not available in this setting | RVU16C |
| 2016-04-01 | Rate data unavailable | Not available in this setting | RVU16B |
| 2016-01-01 | Rate data unavailable | Not available in this setting | RVU16A |
| 2015-10-01 | Rate data unavailable | Not available in this setting | RVU15D |
| 2015-07-01 | Rate data unavailable | Not available in this setting | RVU15C |
| 2015-04-01 | Rate data unavailable | Not available in this setting | RVU15B |
| 2015-01-01 | Rate data unavailable | Not available in this setting | RVU15A |
| 2014-10-01 | Rate data unavailable | Not available in this setting | RVU14D |
| 2014-07-01 | Rate data unavailable | Not available in this setting | RVU14C |
| 2014-04-01 | Rate data unavailable | Not available in this setting | RVU14B |
| 2014-01-01 | Rate data unavailable | Not available in this setting | RVU14A |
| 2013-10-01 | Rate data unavailable | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the El Centro, CA rate applies
El Centro, CA is a Medicare payment area, not a city. Our Census mapping connects it to 18 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- El Centro
- Bombay Beach
- Brawley
- Calexico
- Calipatria
- Desert Shores
- El Centro Naval Air Facility
- Heber
95874 billing questions
When should 95874 be reported instead of 95873?
Use 95874 when needle EMG provides guidance during chemodenervation. Code 95873 represents guidance by electrical stimulation instead.
Can 95874 be billed by itself?
No. It is an add-on service and must be reported with the applicable primary chemodenervation procedure.
What documentation supports 95874?
Document the chemodenervation performed, the muscles treated, and that needle EMG was used to guide the injection. The record should support guidance rather than a separate diagnostic muscle examination.
Which modifiers identify the components?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical component, including equipment and staff. Reporting without either modifier represents the global service.
Is 95874 included in the primary procedure's global period?
Yes. CMS identifies 95874 as an add-on code paid within the primary procedure's global period.
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
Fee sheets · Coming soon
Put 95874 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist