CPT code 95926: Somatosensory testing, lower-limb short latency2026 Medicare rate & RVUs in Miami, FL

Reports short-latency evoked-potential testing of sensory pathways from the lower limbs to the central nervous system.

CMS RVU26DEffective Oct 1, 2026One payment locality6.1K Medicare services in 2024

In Miami, FL, Medicare pays $143.27 for 95926 in the office.

$143.27Office (non-facility)
Not available in this settingHospital or facility
+5.4%vs the national office rate ($135.94)

Check a contract rate as a % of Medicare · 95926 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 95926 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 95926 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 95926 covers

This study evaluates sensory signal conduction from lower-limb peripheral nerves through the spinal cord toward the brain. A technologist applies electrical stimulation, commonly at a peripheral nerve, while recording responses at selected sites; a qualified physician interprets the waveforms and findings. Neurologists and other clinicians may use the results when assessing suspected sensory pathway dysfunction, including possible spinal cord disease, or during selected procedures requiring neurophysiologic monitoring.

Select this code when the documented study tests short-latency somatosensory responses from the lower limbs. The record should identify the nerves or sites stimulated, recording locations, waveforms obtained, and the physician’s interpretation. CMS recognizes separate professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service. The code is priced as bilateral, so modifier 50 does not increase payment.

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 Miami, FL compares for 95926

Across 109 of 109 payment localities, the office rate for 95926 runs from $118.70 in Arkansas to $188.64 in San Benito County, CA. Miami, FL pays $143.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

95926 in Miami, FL vs other payment areas
  1. Miami, FL · this page$143.27
  2. Fort Lauderdale, FL · Florida$138.81−$4.46
  3. Rest of Florida · Florida$131.65−$11.62
  4. Los Angeles, CA · California$157.44+$14.17
  5. Washington, DC area · District of Columbia$157.84+$14.57
  6. Chicago, IL · Illinois$138.81−$4.46
  7. Manhattan, NY · New York$156.94+$13.67

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

Every other payment area

95926 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$151.62—
AlabamaAlabama$120.65—
ArkansasArkansas$118.70—
ArizonaArizona$132.09—
Bakersfield, CACalifornia$146.82—
Chico, CACalifornia$146.66—
El Centro, CACalifornia$146.67—
Fresno, CACalifornia$146.66—

95926 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.

$118.70

$167.65

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

View every state and territory as a table
95926 office rate range by state
State / territoryOffice rate rangeLocalities
AK$151.621
AL$120.651
AR$118.701
AZ$132.091
CA$146.66–$188.6429
CO$143.251
CT$145.621
DC$157.841
DE$134.461
FL$131.65–$143.273
GA$123.67–$138.202
GU$151.211
HI$151.211
IA$125.031
ID$125.741
IL$126.74–$140.504
IN$126.571
KS$123.921
KY$122.861
LA$122.47–$129.292
MA$142.06–$159.102
MD$137.38–$157.843
ME$125.98–$134.282
MI$126.02–$133.012
MN$138.151
MO$119.81–$130.353
MS$119.301
MT$135.941
NC$127.531
ND$134.951
NE$125.931
NH$140.511
NJ$147.54–$155.822
NM$126.601
NV$135.781
NY$129.62–$160.545
OH$125.811
OK$123.101
OR$134.98–$148.742
PA$126.29–$141.362
PR$137.201
RI$139.941
SC$126.831
SD$134.831
TN$124.561
TX$125.33–$142.558
UT$128.781
VA$133.47–$157.842
VI$137.201
VT$133.951
WA$141.95–$162.982
WI$129.891
WV$121.391
WY$135.511

See 95926 in every payment locality

How the 95926 rate is calculated

Each of 95926’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 · 95926

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.53

0.53 RVUs× 1.000 GPCI

Practice expense3.49

3.49 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

4.0700

Conversion factor

$33.4009

Medicare rate

$135.94

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

The exact Miami, FL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,669

Code
95926
Physician work
0.53
Practice expense
3.49
Malpractice
0.05

GPCI2026.csv

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 95926 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work0.53× 1.0000.5300
Practice expense3.49× 1.0413.6331
Malpractice0.05× 2.5290.1265
Total RVUs4.2895
Conversion factor× 33.4009

Office rate, Miami, FL$143.27

Office: (0.53 × 1 + 3.49 × 1.041 + 0.05 × 2.529) × $33.4009 = $143.27

Open 95926 in the RVU calculator

Payment rules and modifiers for 95926

The CMS indicators that decide how 95926 is paid alongside other services.

CMS payment indicators · 95926

Somatosensory testing, lower-limb short latency

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
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

95926 without 26 · national office

$135.94

Somatosensory testing, lower-limb short latency

95926-26 · Professional component

$26.05

Pays only the interpretation and report.

When to use modifier 26

How 95926 has changed in Miami, FL

95926 · Office / nonfacility

$143.27

Effective 2026-10-01

The base rate is $1.50 higher than on 2025-10-01, moving from $141.77 to $143.27 (1.1%).

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

    $141.77changed to$143.27

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.54 changed to 0.53
    • Practice expense RVU 3.62 changed to 3.49
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $163.67changed to$141.77

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.14 changed to 3.62

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $161.00changed to$163.67

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $163.84changed to$161.00

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.04 changed to 4.14
    • Malpractice RVU 0.06 changed to 0.05
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500
  5. January 1, 2023

    RVU23A

    $171.07changed to$163.84

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.15 changed to 4.04
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $153.87changed to$171.07

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.68 changed to 4.15
    • Malpractice RVU 0.04 changed to 0.06

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $140.99changed to$153.87

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.18 changed to 3.68
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $136.08changed to$140.99

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.02 changed to 3.18
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $138.89changed to$136.08

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.10 changed to 3.02

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $142.69changed to$138.89

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.21 changed to 3.10
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $145.85changed to$142.69

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.30 changed to 3.21
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $152.16changed to$145.85

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.48 changed to 3.30
    • Malpractice RVU 0.04 changed to 0.05

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $151.40changed to$152.16

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $153.67changed to$151.40

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.49 changed to 3.48
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 2.653 changed to 2.490

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $202.22changed to$153.67

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.02 changed to 3.49
    • Practice expense GPCI 1.054 changed to 1.044
    • Malpractice GPCI 2.815 changed to 2.653

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $202.22

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$143.27Not available in this settingRVU26D
2026-07-01$143.27Not available in this settingRVU26C
2026-04-01$143.27Not available in this settingRVU26B
2026-01-01$143.27Not available in this settingRVU26A
2025-10-01$141.77Not available in this settingRVU25D
2025-07-01$141.77Not available in this settingRVU25C
2025-04-01$141.77Not available in this settingRVU25B
2025-01-01$141.77Not available in this settingRVU25A
2024-10-01$163.67Not available in this settingRVU24D
2024-07-01$163.67Not available in this settingRVU24C
2024-04-01$163.67Not available in this settingRVU24B
2024-03-09$163.67Not available in this settingRVU24AR
2024-01-01$161.00Not available in this settingRVU24A
2023-10-01$163.84Not available in this settingRVU23D
2023-07-01$163.84Not available in this settingRVU23C
2023-04-01$163.84Not available in this settingRVU23B
2023-01-01$163.84Not available in this settingRVU23A
2022-10-01$171.07Not available in this settingRVU22D
2022-07-01$171.07Not available in this settingRVU22C
2022-04-01$171.07Not available in this settingRVU22B
2022-01-01$171.07Not available in this settingRVU22A
2021-10-01$153.87Not available in this settingRVU21D
2021-07-01$153.87Not available in this settingRVU21C
2021-04-01$153.87Not available in this settingRVU21B
2021-01-01$153.87Not available in this settingRVU21A
2020-10-01$140.99Not available in this settingRVU20D
2020-07-01$140.99Not available in this settingRVU20C
2020-04-01$140.99Not available in this settingRVU20B
2020-01-01$140.99Not available in this settingRVU20A
2019-10-01$136.08Not available in this settingRVU19D
2019-07-01$136.08Not available in this settingRVU19C
2019-04-01$136.08Not available in this settingRVU19B
2019-01-01$136.08Not available in this settingRVU19A
2018-10-01$138.89Not available in this settingRVU18D
2018-07-01$138.89Not available in this settingRVU18C
2018-04-01$138.89Not available in this settingRVU18B
2018-01-01$138.89Not available in this settingRVU18AR1
2017-10-01$142.69Not available in this settingRVU17D
2017-07-01$142.69Not available in this settingRVU17C
2017-04-01$142.69Not available in this settingRVU17B
2017-01-01$142.69Not available in this settingRVU17A
2016-10-01$145.85Not available in this settingRVU16D
2016-07-01$145.85Not available in this settingRVU16C
2016-04-01$145.85Not available in this settingRVU16B
2016-01-01$145.85Not available in this settingRVU16A
2015-10-01$152.16Not available in this settingRVU15D
2015-07-01$152.16Not available in this settingRVU15C
2015-04-01$151.40Not available in this settingRVU15B
2015-01-01$151.40Not available in this settingRVU15A
2014-10-01$153.67Not available in this settingRVU14D
2014-07-01$153.67Not available in this settingRVU14C
2014-04-01$153.67Not available in this settingRVU14B
2014-01-01$153.67Not available in this settingRVU14A
2013-10-01$202.22Not available in this settingRVU13D
2013-07-01$202.22Not available in this settingRVU13C
2013-04-01$202.22Not available in this settingRVU13B
2013-01-01$202.22Not available in this settingRVU13AR

Price 95926 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

95926 billing questions

How does this differ from 95925?

95926 is for short-latency somatosensory testing of lower-limb pathways. 95925 is the corresponding code for upper-limb pathways.

When would 95927 be used instead?

95927 is for short-latency somatosensory testing recorded from spinal cord or subcortical structures. Choose based on the pathway and recording level documented, rather than treating it as another lower-limb code.

Can the professional and technical services be billed separately?

Yes. Report modifier 26 for the physician’s interpretation and modifier TC for the technical service. Without either modifier, the claim represents the global service.

Should modifier 50 be added for testing both legs?

No. CMS prices 95926 as bilateral, and modifier 50 does not increase payment.

What documentation supports reporting 95926?

Document the lower-limb sensory pathway tested, stimulation and recording sites, responses obtained, and the interpreting physician’s findings.

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 95926PPRRVU2026_Oct_nonQPP.csv, line 12,669 (RVU26D)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 95926 pays in Miami, FL?

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 95926 and the rest of your codes on one sheet

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

Join the waitlist