CPT code 95954: EEG activation, medication-provoked2026 Medicare rate & RVUs in Madera, CA

In Madera, CA, Medicare pays $406.75 for 95954 in the office.

Check a contract rate as a % of Medicare · 95954 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 95954 covers

This service involves using a medication during EEG testing to provoke or enhance electrical findings relevant to the diagnostic question, often in seizure evaluation. A neurologist or other qualified physician directs the provocation and interprets the tracing; an EEG technologist typically applies electrodes and operates the recording equipment. It may be performed in an outpatient EEG laboratory or during a hospital-based diagnostic evaluation. The medication-related activation is distinct from simply recording a patient who takes their usual medication.

Report the service when the record supports a deliberate medication-based activation during EEG testing, including the clinical purpose, medication administered, and resulting EEG observations. CMS recognizes professional and technical portions: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and reporting without either modifier represents the global service. The professional and technical portions are separately priced in the CMS fee schedule. The documentation should connect the medication administration to the EEG procedure rather than describe medication management alone.

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 Madera, CA compares for 95954

Across 109 of 109 payment localities, the office rate for 95954 runs from $335.47 in Arkansas to $516.10 in San Benito County, CA. Madera, CA pays $406.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

95954 rates by state

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

See 95954 in every payment locality

How the 95954 rate is calculated

Each of 95954’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 95954

The CMS indicators that decide how 95954 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 95954

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

How 95954 has changed in Madera, CA

Price 95954 for an earlier date of service

Where the Madera, CA rate applies

Madera, CA is a Medicare payment area, not a city. Our Census mapping connects it to 17 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• Madera
• Ahwahnee
• Bass Lake
• Bonadelle Ranchos
• Chowchilla
• Coarsegold
• Fairmead
• La Vina

Browse all communities in California

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