95970 describes analysis without programming. Use 95976 when simple programming of a cranial nerve neurostimulator is performed.
On this page
CMS RVU26D · Effective 2026-10-01
95976 in El Centro
Office / nonfacility
$38.75
Base rate per service
Facility setting
$31.79
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Neurostimulation
About 95976: Simple cranial nerve stimulator programming
Report simple programming of an implanted cranial nerve neurostimulator, commonly a vagus nerve stimulator adjusted during epilepsy care.
Code 95976 covers a programming visit for an implanted cranial nerve neurostimulator, most commonly a vagus nerve stimulator used to manage epilepsy. The clinician interrogates the pulse generator, reviews device function and settings, and makes a simple adjustment to the stimulation program. Neurologists and epileptologists commonly perform this work in an outpatient neurology or epilepsy clinic; programming may also occur in a hospital setting when clinically needed.
Report 95976 when simple programming is performed on a cranial nerve device. Documentation should identify the device, the programming performed, settings assessed or changed, and the clinical reason for adjustment. The analysis needed to carry out programming is part of this service, rather than a separate 95970 line for the same work. Use 95970 when the device is analyzed without programming, and 95977 for complex cranial nerve programming. CMS assigns work, practice-expense, and malpractice RVUs to the service; FeeBase displays payment rates separately.
Where the value comes from
- Work RVU0.71 · 62%
- Practice expense (office) RVU0.37 · 32%
- Malpractice RVU0.06 · 5%
15.1K
Medicare services in 2024 · #1251 by national volume
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.
95976 compared with similar codes
Office rates for El Centro, from the same CMS release.
95977 is the complex-programming sibling for a cranial nerve neurostimulator; 95976 represents the simple programming level.
95971 is for simple programming of a spinal or peripheral nerve neurostimulator. 95976 applies to a cranial nerve device, such as a vagus nerve stimulator.
95983 is for programming a brain neurostimulator. Choose 95976 for a cranial nerve neurostimulator instead.
The same code, a different location
How does El Centro compare?
In Bakersfield, the office rate for 95976 is $38.93—$0.18 higher than the $38.75 rate in El Centro. Both use the same code, release and participation basis.
95976 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
$38.75
$38.93
$0.18 higher than El Centro
$38.74
$0.01 lower than El Centro
$38.74
$0.01 lower than El Centro
$38.74
$0.01 lower than El Centro
$1.89 higher than El Centro
$38.74
$0.01 lower than El Centro
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 95976 ranges from $35.36 in Arkansas to $49.84 in Alaska*. This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 95976
Office
$38.74
Facility
$31.78
$0.01 lower than El Centro for the office setting.
Modesto
California · 95976
Office
$38.74
Facility
$31.78
$0.01 lower than El Centro for the office setting.
Napa
California · 95976
Office
$42.52
Facility
$34.15
$3.77 higher than El Centro for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 95976
Office
$40.23
Facility
$32.73
$1.48 higher than El Centro for the office setting.
Redding
California · 95976
Office
$38.74
Facility
$31.78
$0.01 lower than El Centro for the office setting.
Rest Of California
California · 95976
Office
$38.74
Facility
$31.78
$0.01 lower than El Centro for the office setting.
Riverside-San Bernardino-Ontario
California · 95976
Office
$39.40
Facility
$32.44
$0.65 higher than El Centro for the office setting.
Sacramento-Roseville-Folsom
California · 95976
Office
$40.02
Facility
$32.63
$1.27 higher than El Centro for the office setting.
Salinas
California · 95976
Office
$39.85
Facility
$32.49
$1.10 higher than El Centro for the office setting.
San Diego-Chula Vista-Carlsbad
California · 95976
Office
$40.29
Facility
$32.70
$1.54 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 95976
Office
$44.31
Facility
$35.36
$5.56 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 95976
Office
$44.24
Facility
$35.30
$5.49 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 95976
Office
$45.22
Facility
$36.07
$6.47 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 95976
Office
$44.94
Facility
$35.79
$6.19 higher than El Centro for the office setting.
San Luis Obispo-Paso Robles
California · 95976
Office
$39.27
Facility
$32.04
$0.52 higher than El Centro for the office setting.
Santa Cruz-Watsonville
California · 95976
Office
$40.30
Facility
$32.59
$1.55 higher than El Centro for the office setting.
Santa Maria-Santa Barbara
California · 95976
Office
$39.86
Facility
$32.46
$1.11 higher than El Centro for the office setting.
Santa Rosa-Petaluma
California · 95976
Office
$40.68
Facility
$32.88
$1.93 higher than El Centro for the office setting.
Stockton
California · 95976
Office
$38.74
Facility
$31.78
$0.01 lower than El Centro for the office setting.
Vallejo
California · 95976
Office
$42.42
Facility
$34.05
$3.67 higher than El Centro for the office setting.
Visalia
California · 95976
Office
$38.74
Facility
$31.78
$0.01 lower than El Centro for the office setting.
Yuba City
California · 95976
Office
$38.74
Facility
$31.78
$0.01 lower than El Centro for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 95976
Office
$41.78
Facility
$34.31
$3.03 higher than El Centro for the office setting.
Miami
Florida · 95976
Office
$41.65
Facility
$35.04
$2.90 higher than El Centro for the office setting.
Chicago
Illinois · 95976
Office
$40.90
Facility
$34.52
$2.15 higher than El Centro for the office setting.
Manhattan
New York · 95976
Office
$42.77
Facility
$35.40
$4.02 higher than El Centro for the office setting.
Alaska*
Alaska · 95976
Office
$49.84
Facility
$43.08
$11.09 higher than El Centro for the office setting.
Alabama
Alabama · 95976
Office
$35.66
Facility
$30.11
$3.09 lower than El Centro for the office setting.
Arkansas
Arkansas · 95976
Office
$35.36
Facility
$29.91
$3.39 lower than El Centro for the office setting.
Arizona
Arizona · 95976
Office
$37.41
Facility
$31.26
$1.34 lower than El Centro for the office setting.
Colorado
Colorado · 95976
Office
$38.71
Facility
$31.96
$0.04 lower than El Centro for the office setting.
Connecticut
Connecticut · 95976
Office
$39.92
Facility
$33.09
$1.17 higher than El Centro for the office setting.
Delaware
Delaware · 95976
Office
$37.84
Facility
$31.57
$0.91 lower than El Centro for the office setting.
Fort Lauderdale
Florida · 95976
Office
$39.86
Facility
$33.43
$1.11 higher than El Centro for the office setting.
Rest Of Florida
Florida · 95976
Office
$38.54
Facility
$32.47
$0.21 lower than El Centro for the office setting.
Atlanta
Georgia · 95976
Office
$38.75
Facility
$32.30
The same base rate than El Centro for the office setting.
Rest Of Georgia
Georgia · 95976
Office
$37.13
Facility
$31.47
$1.62 lower than El Centro for the office setting.
Hawaii, Guam
Hawaii · 95976
Office
$38.93
Facility
$31.71
$0.18 higher than El Centro for the office setting.
Iowa
Iowa · 95976
Office
$35.82
Facility
$30.01
$2.93 lower than El Centro for the office setting.
Idaho
Idaho · 95976
Office
$36.03
Facility
$30.19
$2.72 lower than El Centro for the office setting.
East St. Louis
Illinois · 95976
Office
$39.12
Facility
$33.28
$0.37 higher than El Centro for the office setting.
Rest Of Illinois
Illinois · 95976
Office
$38.13
Facility
$32.34
$0.62 lower than El Centro for the office setting.
Suburban Chicago
Illinois · 95976
Office
$40.12
Facility
$33.61
$1.37 higher than El Centro for the office setting.
Indiana
Indiana · 95976
Office
$36.14
Facility
$30.26
$2.61 lower than El Centro for the office setting.
Kansas
Kansas · 95976
Office
$35.90
Facility
$30.16
$2.85 lower than El Centro for the office setting.
Kentucky
Kentucky · 95976
Office
$36.53
Facility
$30.89
$2.22 lower than El Centro for the office setting.
New Orleans
Louisiana · 95976
Office
$37.62
Facility
$31.65
$1.13 lower than El Centro for the office setting.
Rest Of Louisiana
Louisiana · 95976
Office
$36.57
Facility
$30.96
$2.18 lower than El Centro for the office setting.
Metropolitan Boston
Massachusetts · 95976
Office
$41.23
Facility
$33.65
$2.48 higher than El Centro for the office setting.
Rest Of Massachusetts
Massachusetts · 95976
Office
$38.70
Facility
$32.02
$0.05 lower than El Centro for the office setting.
Baltimore/Surr. Cntys
Maryland · 95976
Office
$39.83
Facility
$33.02
$1.08 higher than El Centro for the office setting.
Rest Of Maryland
Maryland · 95976
Office
$38.30
Facility
$31.88
$0.45 lower than El Centro for the office setting.
Rest Of Maine
Maine · 95976
Office
$36.33
Facility
$30.49
$2.42 lower than El Centro for the office setting.
Southern Maine
Maine · 95976
Office
$37.23
Facility
$30.94
$1.52 lower than El Centro for the office setting.
Detroit
Michigan · 95976
Office
$39.02
Facility
$32.90
$0.27 higher than El Centro for the office setting.
Rest Of Michigan
Michigan · 95976
Office
$37.26
Facility
$31.47
$1.49 lower than El Centro for the office setting.
Minnesota
Minnesota · 95976
Office
$37.02
Facility
$30.49
$1.73 lower than El Centro for the office setting.
Metropolitan Kansas City
Missouri · 95976
Office
$37.28
Facility
$31.32
$1.47 lower than El Centro for the office setting.
Metropolitan St. Louis
Missouri · 95976
Office
$37.49
Facility
$31.45
$1.26 lower than El Centro for the office setting.
Rest Of Missouri
Missouri · 95976
Office
$36.32
Facility
$30.85
$2.43 lower than El Centro for the office setting.
Mississippi
Mississippi · 95976
Office
$35.84
Facility
$30.37
$2.91 lower than El Centro for the office setting.
Montana**
Montana · 95976
Office
$38.07
Facility
$31.73
$0.68 lower than El Centro for the office setting.
North Carolina
North Carolina · 95976
Office
$36.53
Facility
$30.60
$2.22 lower than El Centro for the office setting.
North Dakota**
North Dakota · 95976
Office
$36.89
Facility
$30.54
$1.86 lower than El Centro for the office setting.
Nebraska
Nebraska · 95976
Office
$35.88
Facility
$30.02
$2.87 lower than El Centro for the office setting.
New Hampshire
New Hampshire · 95976
Office
$38.33
Facility
$31.73
$0.42 lower than El Centro for the office setting.
Northern Nj
New Jersey · 95976
Office
$41.68
Facility
$34.32
$2.93 higher than El Centro for the office setting.
Rest Of New Jersey
New Jersey · 95976
Office
$40.36
Facility
$33.43
$1.61 higher than El Centro for the office setting.
New Mexico
New Mexico · 95976
Office
$37.45
Facility
$31.63
$1.30 lower than El Centro for the office setting.
Nevada**
Nevada · 95976
Office
$37.75
Facility
$31.40
$1.00 lower than El Centro for the office setting.
Nyc Suburbs/Long Island
New York · 95976
Office
$43.65
Facility
$36.10
$4.90 higher than El Centro for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 95976
Office
$40.74
Facility
$33.79
$1.99 higher than El Centro for the office setting.
Queens
New York · 95976
Office
$42.73
Facility
$35.23
$3.98 higher than El Centro for the office setting.
Rest Of New York
New York · 95976
Office
$36.86
Facility
$30.84
$1.89 lower than El Centro for the office setting.
Ohio
Ohio · 95976
Office
$37.02
Facility
$31.22
$1.73 lower than El Centro for the office setting.
Oklahoma
Oklahoma · 95976
Office
$36.31
Facility
$30.64
$2.44 lower than El Centro for the office setting.
Portland
Oregon · 95976
Office
$39.32
Facility
$32.26
$0.57 higher than El Centro for the office setting.
Rest Of Oregon
Oregon · 95976
Office
$37.43
Facility
$31.11
$1.32 lower than El Centro for the office setting.
Metropolitan Philadelphia
Pennsylvania · 95976
Office
$39.40
Facility
$32.79
$0.65 higher than El Centro for the office setting.
Rest Of Pennsylvania
Pennsylvania · 95976
Office
$36.95
Facility
$31.13
$1.80 lower than El Centro for the office setting.
Puerto Rico
Puerto Rico · 95976
Office
$38.18
Facility
$31.77
$0.57 lower than El Centro for the office setting.
Rhode Island
Rhode Island · 95976
Office
$38.72
Facility
$32.16
$0.03 lower than El Centro for the office setting.
South Carolina
South Carolina · 95976
Office
$36.84
Facility
$30.97
$1.91 lower than El Centro for the office setting.
South Dakota**
South Dakota · 95976
Office
$36.75
Facility
$30.40
$2.00 lower than El Centro for the office setting.
Tennessee
Tennessee · 95976
Office
$36.02
Facility
$30.26
$2.73 lower than El Centro for the office setting.
Austin
Texas · 95976
Office
$38.61
Facility
$31.90
$0.14 lower than El Centro for the office setting.
Beaumont
Texas · 95976
Office
$36.82
Facility
$31.05
$1.93 lower than El Centro for the office setting.
Brazoria
Texas · 95976
Office
$37.71
Facility
$31.43
$1.04 lower than El Centro for the office setting.
Dallas
Texas · 95976
Office
$37.96
Facility
$31.64
$0.79 lower than El Centro for the office setting.
Fort Worth
Texas · 95976
Office
$37.86
Facility
$31.60
$0.89 lower than El Centro for the office setting.
Galveston
Texas · 95976
Office
$37.84
Facility
$31.53
$0.91 lower than El Centro for the office setting.
Houston
Texas · 95976
Office
$38.93
Facility
$32.63
$0.18 higher than El Centro for the office setting.
Rest Of Texas
Texas · 95976
Office
$37.25
Facility
$31.23
$1.50 lower than El Centro for the office setting.
Utah
Utah · 95976
Office
$37.13
Facility
$31.17
$1.62 lower than El Centro for the office setting.
Virginia
Virginia · 95976
Office
$37.28
Facility
$31.04
$1.47 lower than El Centro for the office setting.
Virgin Islands
United States Virgin Islands · 95976
Office
$38.18
Facility
$31.77
$0.57 lower than El Centro for the office setting.
Vermont
Vermont · 95976
Office
$36.96
Facility
$30.68
$1.79 lower than El Centro for the office setting.
Rest Of Washington
Washington · 95976
Office
$38.56
Facility
$31.88
$0.19 lower than El Centro for the office setting.
Seattle (King Cnty)
Washington · 95976
Office
$41.70
Facility
$33.91
$2.95 higher than El Centro for the office setting.
Wisconsin
Wisconsin · 95976
Office
$36.17
Facility
$30.09
$2.58 lower than El Centro for the office setting.
West Virginia
West Virginia · 95976
Office
$37.32
Facility
$31.81
$1.43 lower than El Centro for the office setting.
Wyoming**
Wyoming · 95976
Office
$37.56
Facility
$31.21
$1.19 lower than El Centro for the office setting.
See how rates vary across the country
95976 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$35.36
$49.84
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $49.84 | 1 |
| AL | $35.66 | 1 |
| AR | $35.36 | 1 |
| AZ | $37.41 | 1 |
| CA | $38.74–$45.22 | 29 |
| CO | $38.71 | 1 |
| CT | $39.92 | 1 |
| DC | $41.78 | 1 |
| DE | $37.84 | 1 |
| FL | $38.54–$41.65 | 3 |
| GA | $37.13–$38.75 | 2 |
| GU | $38.93 | 1 |
| HI | $38.93 | 1 |
| IA | $35.82 | 1 |
| ID | $36.03 | 1 |
| IL | $38.13–$40.90 | 4 |
| IN | $36.14 | 1 |
| KS | $35.90 | 1 |
| KY | $36.53 | 1 |
| LA | $36.57–$37.62 | 2 |
| MA | $38.70–$41.23 | 2 |
| MD | $38.30–$41.78 | 3 |
| ME | $36.33–$37.23 | 2 |
| MI | $37.26–$39.02 | 2 |
| MN | $37.02 | 1 |
| MO | $36.32–$37.49 | 3 |
| MS | $35.84 | 1 |
| MT | $38.07 | 1 |
| NC | $36.53 | 1 |
| ND | $36.89 | 1 |
| NE | $35.88 | 1 |
| NH | $38.33 | 1 |
| NJ | $40.36–$41.68 | 2 |
| NM | $37.45 | 1 |
| NV | $37.75 | 1 |
| NY | $36.86–$43.65 | 5 |
| OH | $37.02 | 1 |
| OK | $36.31 | 1 |
| OR | $37.43–$39.32 | 2 |
| PA | $36.95–$39.40 | 2 |
| PR | $38.18 | 1 |
| RI | $38.72 | 1 |
| SC | $36.84 | 1 |
| SD | $36.75 | 1 |
| TN | $36.02 | 1 |
| TX | $36.82–$38.93 | 8 |
| UT | $37.13 | 1 |
| VA | $37.28–$41.78 | 2 |
| VI | $38.18 | 1 |
| VT | $36.96 | 1 |
| WA | $38.56–$41.70 | 2 |
| WI | $36.17 | 1 |
| WV | $37.32 | 1 |
| WY | $37.56 | 1 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Why are the office and facility amounts different?
For 95976 in El Centro, the physician’s office rate is $38.75 and the facility-setting rate is $31.79: a difference of $6.96.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 95976 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$42.63
$38.75 × 110% = $42.63
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 95976 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
12,728
- Code
- 95976
- Physician work
- 0.71
- Practice expense
- 0.37
- Malpractice
- 0.06
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.71 | × 1.017 | 0.7221 |
| Practice expense | 0.37 | × 1.096 | 0.4055 |
| Malpractice | 0.06 | × 0.541 | 0.0325 |
| Total RVUs | 1.1600 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, El Centro$38.75
Open 95976 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.71 | 1.017 |
| Practice expense | 0.37 | 1.096 |
| Malpractice | 0.06 | 0.541 |
(0.71 × 1.017 + 0.37 × 1.096 + 0.06 × 0.541) × $33.4009 = $38.75
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.71 | 1.017 |
| Practice expense | 0.18 | 1.096 |
| Malpractice | 0.06 | 0.541 |
(0.71 × 1.017 + 0.18 × 1.096 + 0.06 × 0.541) × $33.4009 = $31.79
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
95976 · Office / nonfacility
$38.75
Effective 2026-10-01
The base rate is $1.51 higher than on 2025-10-01, moving from $37.24 to $38.75 (4.1%).
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
$37.24changed to$38.75
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.73 changed to 0.71
- Practice expense RVU 0.35 changed to 0.37
- Malpractice RVU 0.05 changed to 0.06
- 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
Earliest loaded release: $37.24
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
95976 billing questions
How does 95976 differ from 95977?
Both describe programming of a cranial nerve neurostimulator. Select 95976 for simple programming and 95977 when the documented programming meets the complex level.
Can 95970 also be reported for the same programming session?
The analysis needed to perform the programming is included in 95976. Do not report 95970 separately for that same analysis work.
Which device is most commonly associated with 95976?
A vagus nerve stimulator used in epilepsy care is a common example. The code is for programming a cranial nerve neurostimulator, not a spinal or peripheral nerve stimulator.
Is 95976 based on programming time or individual settings?
It is not described as a timed service or as a per-setting code. Document the programming performed and report the applicable service level.
What documentation supports reporting 95976?
Document the implanted cranial nerve device, the reason for the visit, device assessment, and the programming changes or other programming work performed.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
