$371.58
95816 reports an awake and drowsy EEG recording. Choose 95957 for digital analysis of EEG data, not for the recording itself.
On this page
CMS RVU26D · Effective 2026-10-01
95957 EEG analysis Medicare reimbursement rates in Kentucky
Report digital analysis of EEG data, such as analysis for epileptic spikes, as a distinct service alongside the underlying EEG recording when performed. Compare 95957 office and facility rates across CMS payment localities in Kentucky.
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.
What does Medicare pay for 95957 in Kentucky?
Kentucky has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$282.81
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Neurology
About 95957: Digital EEG data analysis
Report digital analysis of EEG data, such as analysis for epileptic spikes, as a distinct service alongside the underlying EEG recording when performed.
This service covers computer-based analysis of electroencephalographic data, including analysis directed at identifying epileptic spikes. It is used in neurologic evaluations, particularly when clinicians assess seizure activity from EEG recordings. A neurologist or other qualified professional interprets the analytic output; the technical work uses the equipment and staff needed to process the recorded data.
Report 95957 for the digital analysis itself, rather than for acquiring an EEG or merely reviewing its tracing visually. Documentation should identify the EEG data analyzed, the analysis performed, and the findings or clinical interpretation. Modifier 26 represents the professional interpretation, while modifier TC represents the technical service involving equipment and staff. Without either modifier, the claim represents the global service.
CMS billing rules for 95957
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Where the value comes from
- Work RVU1.93 · 21%
- Practice expense (office) RVU7.24 · 78%
- Malpractice RVU0.11 · 1%
28.4K
Medicare services in 2024 · #993 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.
95957 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$432.76
95819 reports an EEG recording that includes awake and asleep states. 95957 describes digital analysis performed on EEG data.
$179.46
95955 describes EEG monitoring during surgery. 95957 describes digital analysis of EEG data rather than the intraoperative monitoring service.
Compare 95957 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kentucky →
Office / nonfacility
$282.81
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 95957 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
12,704
- Code
- 95957
- Physician work
- 1.93
- Practice expense
- 7.24
- Malpractice
- 0.11
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.93 | × 1.000 | 1.9300 |
| Practice expense | 7.24 | × 0.889 | 6.4364 |
| Malpractice | 0.11 | × 0.915 | 0.1007 |
| Total RVUs | 8.4670 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$282.81
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.93 | 1 |
| Practice expense | 7.24 | 0.889 |
| Malpractice | 0.11 | 0.915 |
(1.93 × 1 + 7.24 × 0.889 + 0.11 × 0.915) × $33.4009 = $282.81
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.
95957 billing questions
How is 95957 different from a routine EEG code?
Routine EEG codes describe recording the brain's electrical activity. 95957 describes digital analysis of EEG data, such as analysis for epileptic spikes.
Can 95957 be reported with the EEG recording?
The EEG recording and digital analysis describe distinct work and may be reported for the same study when both services were performed and documented.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical service involving equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports the digital analysis?
Record which EEG data were analyzed, the digital analysis performed, and the resulting findings or interpretation. The record should make clear that the service involved analysis, not just EEG acquisition.
Is 95957 the code for EEG monitoring during surgery?
No. 95957 describes digital EEG analysis; 95955 describes EEG monitoring during surgery.
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.
12,70195955,,Eeg during surgery,A,,0.98,4.89,,4.89,NA,0.05,5.92,5.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,70295955,26,Eeg during surgery,A,,0.98,0.57,,0.57,,0.04,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,70395955,TC,Eeg during surgery,A,,0.00,4.32,,4.32,NA,0.01,4.33,4.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,70495957,,Eeg digital analysis,A,,1.93,7.24,,7.24,NA,0.11,9.28,9.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,70595957,26,Eeg digital analysis,A,,1.93,1.04,,1.04,,0.07,3.04,3.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,70695957,TC,Eeg digital analysis,A,,0.00,6.20,,6.20,NA,0.04,6.24,6.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,70795958,,Eeg monitoring/function test,A,,4.13,18.48,,18.48,NA,0.28,22.89,22.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631