FeeBase
Log inGet started
Menu

CPT code 95938: Sensory evoked potentials, upper and lower limbs2026 Medicare rate & RVUs in Miami, FL

Reports somatosensory evoked-potential testing of upper and lower limb pathways, often used to assess sensory conduction or monitor neural function during surgery.

CMS RVU26DEffective Oct 1, 2026One payment locality102.8K Medicare services in 2024

In Miami, FL, Medicare pays $419.87 for 95938 in the office.

$419.87Office (non-facility)
Not available in this settingHospital or facility
+4.9%vs the national office rate ($400.14)

Check a contract rate as a % of Medicare · 95938 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 95938 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 95938 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 95938 covers

This study evaluates sensory pathways by stimulating peripheral nerves in the upper and lower limbs and recording evoked responses along the pathway, including at peripheral, spinal, and cortical sites. Neurologists or other qualified clinicians interpret the responses; trained technical staff may perform the stimulation and recording. The study may be performed in a diagnostic neurophysiology laboratory or during surgery when sensory pathway monitoring is needed.

Select this code when the testing covers both upper and lower limbs, rather than only one limb group or dermatomal stimulation. The report should identify the nerves or sites tested, the recorded responses, and the interpretation. Medicare recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier for 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 95938

Across 109 of 109 payment localities, the office rate for 95938 runs from $346.64 in Arkansas to $564.97 in San Benito County, CA. Miami, FL pays $419.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

95938 in Miami, FL vs other payment areas
  1. Miami, FL · this page$419.87
  2. Fort Lauderdale, FL · Florida$407.37−$12.50
  3. Rest of Florida · Florida$385.42−$34.45
  4. Los Angeles, CA · California$467.82+$47.95
  5. Washington, DC area · District of Columbia$467.69+$47.82
  6. Chicago, IL · Illinois$406.08−$13.79
  7. Manhattan, NY · New York$463.49+$43.62

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

Every other payment area

95938 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$436.81—
AlabamaAlabama$352.70—
ArkansasArkansas$346.64—
ArizonaArizona$388.27—
Bakersfield, CACalifornia$434.93—
Chico, CACalifornia$434.66—
El Centro, CACalifornia$434.67—
Fresno, CACalifornia$434.66—

95938 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.

$346.64

$499.82

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

View every state and territory as a table
95938 office rate range by state
State / territoryOffice rate rangeLocalities
AK$436.811
AL$352.701
AR$346.641
AZ$388.271
CA$434.66–$564.9729
CO$423.441
CT$429.751
DC$467.691
DE$395.551
FL$385.42–$419.873
GA$360.86–$406.742
GU$449.441
HI$449.441
IA$366.961
ID$369.031
IL$369.73–$412.634
IN$371.651
KS$363.221
KY$358.921
LA$357.57–$378.782
MA$419.54–$472.562
MD$404.61–$467.693
ME$369.48–$395.712
MI$368.42–$389.292
MN$408.731
MO$349.13–$382.433
MS$348.061
MT$400.141
NC$374.331
ND$398.361
NE$369.851
NH$414.901
NJ$435.51–$461.172
NM$370.111
NV$400.011
NY$380.80–$474.275
OH$368.061
OK$359.981
OR$397.77–$440.792
PA$369.71–$416.362
PR$404.161
RI$412.531
SC$371.641
SD$398.151
TN$365.161
TX$366.71–$421.268
UT$377.691
VA$392.98–$467.692
VI$404.161
VT$394.971
WA$419.35–$484.782
WI$382.561
WV$353.091
WY$399.361

See 95938 in every payment locality

How the 95938 rate is calculated

Each of 95938’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 · 95938

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.84

0.84 RVUs× 1.000 GPCI

Practice expense11.05

11.05 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

11.9800

Conversion factor

$33.4009

Medicare rate

$400.14

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

12,690

Code
95938
Physician work
0.84
Practice expense
11.05
Malpractice
0.09

GPCI2026.csv

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 95938 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work0.84× 1.0000.8400
Practice expense11.05× 1.04111.5030
Malpractice0.09× 2.5290.2276
Total RVUs12.5707
Conversion factor× 33.4009

Office rate, Miami, FL$419.87

Office: (0.84 × 1 + 11.05 × 1.041 + 0.09 × 2.529) × $33.4009 = $419.87

Open 95938 in the RVU calculator

Payment rules and modifiers for 95938

The CMS indicators that decide how 95938 is paid alongside other services.

CMS payment indicators · 95938

Sensory evoked potentials, upper and lower limbs

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

95938 without 26 · national office

$400.14

Sensory evoked potentials, upper and lower limbs

95938-26 · Professional component

$45.09

Pays only the interpretation and report.

When to use modifier 26

Codes related to 95938

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

Codes related to 95938
CodeHow it relatesOffice range, Miami, FL
Same family
95925Evoked potential, upper limbsSomatosensory evoked-potential testing for upper limbs.$160.11
95926Somatosensory testing, lower-limb short latencySomatosensory evoked-potential testing for lower limbs.$143.27
95927Somatosensory testing, trunk or headSomatosensory evoked-potential testing using dermatomal stimulation.$179.24
Used instead
95939Motor evoked potentials, upper and lower limbsTests motor evoked potentials in upper and lower limbs, rather than sensory pathways.$617.80

How 95938 has changed in Miami, FL

95938 · Office / nonfacility

$419.87

Effective 2026-10-01

The base rate is $45.74 higher than on 2025-10-01, moving from $374.13 to $419.87 (12.2%).

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

    $374.13changed to$419.87

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.86 changed to 0.84
    • Practice expense RVU 10.23 changed to 11.05
    • Malpractice RVU 0.08 changed to 0.09
    • 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

    $388.24changed to$374.13

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.30 changed to 10.23
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $381.90changed to$388.24

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $381.35changed to$381.90

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.94 changed to 10.30
    • Malpractice RVU 0.08 changed to 0.09
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500

  5. January 1, 2023

    RVU23A

    $385.40changed to$381.35

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.84 changed to 9.94
    • 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

    $381.45changed to$385.40

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.64 changed to 9.84

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $370.70changed to$381.45

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.92 changed to 9.64
    • Malpractice RVU 0.10 changed to 0.08
    • 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

    $366.59changed to$370.70

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.85 changed to 8.92
    • Malpractice RVU 0.08 changed to 0.10
    • 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

    $366.56changed to$366.59

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.86 changed to 8.85

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $361.88changed to$366.56

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.75 changed to 8.86
    • 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

    $360.44changed to$361.88

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.72 changed to 8.75
    • 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

    $359.21changed to$360.44

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.70 changed to 8.72
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $357.42changed to$359.21

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $356.10changed to$357.42

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.52 changed to 8.70
    • Malpractice RVU 0.07 changed to 0.06
    • 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

    $354.40changed to$356.10

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.88 changed to 8.52
    • 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: $354.40

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$419.87Not available in this settingRVU26D
2026-07-01$419.87Not available in this settingRVU26C
2026-04-01$419.87Not available in this settingRVU26B
2026-01-01$419.87Not available in this settingRVU26A
2025-10-01$374.13Not available in this settingRVU25D
2025-07-01$374.13Not available in this settingRVU25C
2025-04-01$374.13Not available in this settingRVU25B
2025-01-01$374.13Not available in this settingRVU25A
2024-10-01$388.24Not available in this settingRVU24D
2024-07-01$388.24Not available in this settingRVU24C
2024-04-01$388.24Not available in this settingRVU24B
2024-03-09$388.24Not available in this settingRVU24AR
2024-01-01$381.90Not available in this settingRVU24A
2023-10-01$381.35Not available in this settingRVU23D
2023-07-01$381.35Not available in this settingRVU23C
2023-04-01$381.35Not available in this settingRVU23B
2023-01-01$381.35Not available in this settingRVU23A
2022-10-01$385.40Not available in this settingRVU22D
2022-07-01$385.40Not available in this settingRVU22C
2022-04-01$385.40Not available in this settingRVU22B
2022-01-01$385.40Not available in this settingRVU22A
2021-10-01$381.45Not available in this settingRVU21D
2021-07-01$381.45Not available in this settingRVU21C
2021-04-01$381.45Not available in this settingRVU21B
2021-01-01$381.45Not available in this settingRVU21A
2020-10-01$370.70Not available in this settingRVU20D
2020-07-01$370.70Not available in this settingRVU20C
2020-04-01$370.70Not available in this settingRVU20B
2020-01-01$370.70Not available in this settingRVU20A
2019-10-01$366.59Not available in this settingRVU19D
2019-07-01$366.59Not available in this settingRVU19C
2019-04-01$366.59Not available in this settingRVU19B
2019-01-01$366.59Not available in this settingRVU19A
2018-10-01$366.56Not available in this settingRVU18D
2018-07-01$366.56Not available in this settingRVU18C
2018-04-01$366.56Not available in this settingRVU18B
2018-01-01$366.56Not available in this settingRVU18AR1
2017-10-01$361.88Not available in this settingRVU17D
2017-07-01$361.88Not available in this settingRVU17C
2017-04-01$361.88Not available in this settingRVU17B
2017-01-01$361.88Not available in this settingRVU17A
2016-10-01$360.44Not available in this settingRVU16D
2016-07-01$360.44Not available in this settingRVU16C
2016-04-01$360.44Not available in this settingRVU16B
2016-01-01$360.44Not available in this settingRVU16A
2015-10-01$359.21Not available in this settingRVU15D
2015-07-01$359.21Not available in this settingRVU15C
2015-04-01$357.42Not available in this settingRVU15B
2015-01-01$357.42Not available in this settingRVU15A
2014-10-01$356.10Not available in this settingRVU14D
2014-07-01$356.10Not available in this settingRVU14C
2014-04-01$356.10Not available in this settingRVU14B
2014-01-01$356.10Not available in this settingRVU14A
2013-10-01$354.40Not available in this settingRVU13D
2013-07-01$354.40Not available in this settingRVU13C
2013-04-01$354.40Not available in this settingRVU13B
2013-01-01$354.40Not available in this settingRVU13AR

Price 95938 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

95938 billing questions

When should 95938 be chosen over 95925 or 95926?

Use 95938 for somatosensory evoked-potential testing that covers both upper and lower limbs. Codes 95925 and 95926 describe testing of upper limbs and lower limbs, respectively.

Does 95938 include bilateral testing?

Yes. CMS prices the code as bilateral; modifier 50 does not increase payment.

Which component modifier should be reported?

Report modifier 26 for the professional interpretation or modifier TC for the technical service. Report the global service without either modifier.

Is 95938 a sensory or motor evoked-potential study?

It is a somatosensory study of sensory pathways. Motor evoked-potential testing is distinct; 95939 covers upper- and lower-limb motor evoked potentials.

What documentation supports reporting 95938?

Document the upper- and lower-limb nerves or sites stimulated, the responses recorded, and the clinician's interpretation of the 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 95938PPRRVU2026_Oct_nonQPP.csv, line 12,690 (RVU26D)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 95938 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 95938 and the rest of your codes on one sheet

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

Join the waitlist