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

Reports medication used to provoke diagnostic EEG changes during evaluation, such as when a neurologist seeks to reveal abnormalities not evident on routine recording.

CMS RVU26DEffective Oct 1, 2026One payment locality711 Medicare services in 2024

In Iowa, Medicare pays $351.37 for 95954 in the office.

$351.37Office (non-facility)
Not available in this settingHospital or facility
−7.4%vs the national office rate ($379.43)

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.

We’ll open 95954 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 95954 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 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 Iowa 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. Iowa pays $351.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

95954 in Iowa vs other payment areas
  1. Iowa · this page$351.37
  2. Los Angeles, CA · California$434.93+$83.56
  3. Washington, DC area · District of Columbia$436.75+$85.38
  4. Miami, FL · Florida$399.17+$47.80
  5. Chicago, IL · Illinois$387.95+$36.58
  6. Manhattan, NY · New York$435.20+$83.83
  7. Alaska · Alaska$436.25+$84.88

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

Every other payment area

95954 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$340.44—
ArkansasArkansas$335.47—
ArizonaArizona$369.58—
Bakersfield, CACalifornia$407.27—
Chico, CACalifornia$406.75—
El Centro, CACalifornia$406.77—
Fresno, CACalifornia$406.75—
Hanford, CACalifornia$406.75—

95954 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.

$335.47

$461.43

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

View every state and territory as a table
95954 office rate range by state
State / territoryOffice rate rangeLocalities
AK$436.251
AL$340.441
AR$335.471
AZ$369.581
CA$406.75–$516.1029
CO$398.151
CT$404.771
DC$436.751
DE$375.791
FL$368.99–$399.173
GA$348.58–$385.392
GU$417.681
HI$417.681
IA$351.371
ID$353.231
IL$356.63–$391.814
IN$355.351
KS$348.671
KY$346.311
LA$345.35–$362.732
MA$395.31–$439.312
MD$383.36–$436.753
ME$353.97–$374.932
MI$354.45–$372.562
MN$384.451
MO$338.65–$365.303
MS$337.181
MT$379.421
NC$357.891
ND$376.461
NE$353.631
NH$390.891
NJ$410.22–$431.942
NM$355.991
NV$378.891
NY$363.22–$444.525
OH$353.841
OK$346.801
OR$376.77–$412.132
PA$355.00–$393.922
PR$382.601
RI$390.131
SC$356.291
SD$376.111
TN$350.311
TX$352.56–$396.118
UT$361.251
VA$372.95–$436.752
VI$382.601
VT$374.011
WA$394.89–$449.382
WI$363.591
WV$343.001
WY$378.131

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.

How the rate is built · 95954

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.39

2.39 RVUs× 1.000 GPCI

Practice expense8.82

8.82 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

11.3600

Conversion factor

$33.4009

Medicare rate

$379.43

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

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,698

Code
95954
Physician work
2.39
Practice expense
8.82
Malpractice
0.15

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 95954 in Iowa
ComponentRVULocality factorAdjusted
Physician work2.39× 1.0002.3900
Practice expense8.82× 0.9158.0703
Malpractice0.15× 0.3970.0595
Total RVUs10.5199
Conversion factor× 33.4009

Office rate, Iowa$351.37

Office: (2.39 × 1 + 8.82 × 0.915 + 0.15 × 0.397) × $33.4009 = $351.37

Open 95954 in the RVU calculator

Payment rules and modifiers for 95954

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

CMS payment indicators · 95954

EEG activation, medication-provoked

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
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

95954 without 26 · national office

$379.43

EEG activation, medication-provoked

95954-26 · Professional component

$106.21

Pays only the interpretation and report.

When to use modifier 26

Codes related to 95954

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

Codes related to 95954
CodeHow it relatesOffice range, Iowa
Used instead
95816EEG, awake and drowsyRoutine EEG recording for an awake or drowsy patient without medication-based activation.$379.61
95819EEG, awake and asleep recordingRoutine EEG recording that includes awake and asleep portions, rather than medication-based activation.$442.39
95955Intraoperative EEG, during surgeryEEG performed during surgery; the operative setting distinguishes it from medication-provoked diagnostic testing.$182.84
Often billed with
95957EEG analysis, digital analysisMay accompany EEG testing when a distinct digital analysis service is performed and documented.$287.19

How 95954 has changed in Iowa

95954 · Office / nonfacility

$351.37

Effective 2026-10-01

The base rate is $7.36 higher than on 2025-10-01, moving from $344.01 to $351.37 (2.1%).

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

    $344.01changed to$351.37

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.45 changed to 2.39
    • Practice expense RVU 8.87 changed to 8.82
    • Malpractice RVU 0.19 changed to 0.15
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $363.13changed to$344.01

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.17 changed to 8.87

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $357.21changed to$363.13

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $376.51changed to$357.21

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.43 changed to 9.17
    • Malpractice RVU 0.18 changed to 0.19
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $382.63changed to$376.51

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.40 changed to 9.43
    • Malpractice RVU 0.19 changed to 0.18
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $371.11changed to$382.63

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.95 changed to 9.40
    • Malpractice RVU 0.16 changed to 0.19

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $366.31changed to$371.11

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.41 changed to 8.95
    • Malpractice RVU 0.17 changed to 0.16
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $375.27changed to$366.31

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.70 changed to 8.41
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $400.80changed to$375.27

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.49 changed to 8.70
    • Malpractice RVU 0.18 changed to 0.17

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $420.11changed to$400.80

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.16 changed to 9.49
    • Malpractice RVU 0.20 changed to 0.18
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $415.55changed to$420.11

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 10.12 changed to 10.16
    • Malpractice RVU 0.18 changed to 0.20
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $423.46changed to$415.55

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.33 changed to 10.12
    • Malpractice RVU 0.16 changed to 0.18

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $421.35changed to$423.46

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $400.27changed to$421.35

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.70 changed to 10.33
    • Malpractice RVU 0.15 changed to 0.16
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $432.13changed to$400.27

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 11.48 changed to 9.70
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $432.13

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$351.37Not available in this settingRVU26D
2026-07-01$351.37Not available in this settingRVU26C
2026-04-01$351.37Not available in this settingRVU26B
2026-01-01$351.37Not available in this settingRVU26A
2025-10-01$344.01Not available in this settingRVU25D
2025-07-01$344.01Not available in this settingRVU25C
2025-04-01$344.01Not available in this settingRVU25B
2025-01-01$344.01Not available in this settingRVU25A
2024-10-01$363.13Not available in this settingRVU24D
2024-07-01$363.13Not available in this settingRVU24C
2024-04-01$363.13Not available in this settingRVU24B
2024-03-09$363.13Not available in this settingRVU24AR
2024-01-01$357.21Not available in this settingRVU24A
2023-10-01$376.51Not available in this settingRVU23D
2023-07-01$376.51Not available in this settingRVU23C
2023-04-01$376.51Not available in this settingRVU23B
2023-01-01$376.51Not available in this settingRVU23A
2022-10-01$382.63Not available in this settingRVU22D
2022-07-01$382.63Not available in this settingRVU22C
2022-04-01$382.63Not available in this settingRVU22B
2022-01-01$382.63Not available in this settingRVU22A
2021-10-01$371.11Not available in this settingRVU21D
2021-07-01$371.11Not available in this settingRVU21C
2021-04-01$371.11Not available in this settingRVU21B
2021-01-01$371.11Not available in this settingRVU21A
2020-10-01$366.31Not available in this settingRVU20D
2020-07-01$366.31Not available in this settingRVU20C
2020-04-01$366.31Not available in this settingRVU20B
2020-01-01$366.31Not available in this settingRVU20A
2019-10-01$375.27Not available in this settingRVU19D
2019-07-01$375.27Not available in this settingRVU19C
2019-04-01$375.27Not available in this settingRVU19B
2019-01-01$375.27Not available in this settingRVU19A
2018-10-01$400.80Not available in this settingRVU18D
2018-07-01$400.80Not available in this settingRVU18C
2018-04-01$400.80Not available in this settingRVU18B
2018-01-01$400.80Not available in this settingRVU18AR1
2017-10-01$420.11Not available in this settingRVU17D
2017-07-01$420.11Not available in this settingRVU17C
2017-04-01$420.11Not available in this settingRVU17B
2017-01-01$420.11Not available in this settingRVU17A
2016-10-01$415.55Not available in this settingRVU16D
2016-07-01$415.55Not available in this settingRVU16C
2016-04-01$415.55Not available in this settingRVU16B
2016-01-01$415.55Not available in this settingRVU16A
2015-10-01$423.46Not available in this settingRVU15D
2015-07-01$423.46Not available in this settingRVU15C
2015-04-01$421.35Not available in this settingRVU15B
2015-01-01$421.35Not available in this settingRVU15A
2014-10-01$400.27Not available in this settingRVU14D
2014-07-01$400.27Not available in this settingRVU14C
2014-04-01$400.27Not available in this settingRVU14B
2014-01-01$400.27Not available in this settingRVU14A
2013-10-01$432.13Not available in this settingRVU13D
2013-07-01$432.13Not available in this settingRVU13C
2013-04-01$432.13Not available in this settingRVU13B
2013-01-01$432.13Not available in this settingRVU13AR

Price 95954 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

95954 billing questions

When is this code appropriate instead of a routine EEG code?

Use it for medication-based provocation performed as part of diagnostic EEG testing. A routine recording without that activation is represented by the applicable routine EEG code.

What documentation supports reporting the service?

Document why medication-based activation was performed, the medication administered, and the EEG findings or response. The record should show that the medication was used to affect the diagnostic recording.

How should the professional and technical portions be billed?

Use modifier 26 for the professional interpretation and modifier TC for the technical work, including equipment and staff. Without either modifier, the claim represents the global service.

Does this code represent medication management by itself?

No. The service is tied to medication used to provoke findings during EEG testing; medication administration or management without the EEG activation service is not described by this code.

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 95954PPRRVU2026_Oct_nonQPP.csv, line 12,698 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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