# CPT 95816: EEG, awake and drowsy

Medicare CPT 95816 pays $413.50 in a non-facility setting and $413.50 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $359.00 in Arkansas to $482.54 in District of Columbia, a 34% spread.

Web page: https://www.med-reveal.com/rates/95816-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Emergency Medicine, Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $413.50 |
| National facility | $413.50 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $482.54 | $482.54 |
| California | $481.98 | $481.98 |
| Washington | $466.42 | $466.42 |
| Hawaii | $463.48 | $463.48 |
| New Jersey | $462.85 | $462.85 |
| Massachusetts | $460.30 | $460.30 |
| New York | $459.73 | $459.73 |
| Alaska | $453.92 | $453.92 |
| Connecticut | $443.79 | $443.79 |
| Colorado | $437.20 | $437.20 |
| Oregon | $432.92 | $432.92 |
| Maryland | $430.16 | $430.16 |
| New Hampshire | $428.46 | $428.46 |
| Rhode Island | $426.19 | $426.19 |
| Minnesota | $422.03 | $422.03 |
| Florida | $417.92 | $417.92 |
| Puerto Rico | $417.58 | $417.58 |
| Virgin Islands | $417.58 | $417.58 |
| Montana | $413.50 | $413.50 |
| Nevada | $413.32 | $413.32 |
| Wyoming | $412.63 | $412.63 |
| North Dakota | $411.52 | $411.52 |
| South Dakota | $411.29 | $411.29 |
| Delaware | $408.84 | $408.84 |
| Vermont | $408.10 | $408.10 |
| Texas | $407.64 | $407.64 |
| Pennsylvania | $406.36 | $406.36 |
| Virginia | $406.14 | $406.14 |
| Illinois | $404.01 | $404.01 |
| Arizona | $401.39 | $401.39 |
| Georgia | $396.96 | $396.96 |
| Maine | $395.56 | $395.56 |
| Wisconsin | $395.44 | $395.44 |
| Michigan | $391.99 | $391.99 |
| Utah | $390.66 | $390.66 |
| North Carolina | $387.17 | $387.17 |
| South Carolina | $384.50 | $384.50 |
| Indiana | $384.40 | $384.40 |
| New Mexico | $383.04 | $383.04 |
| Missouri | $382.57 | $382.57 |
| Nebraska | $382.54 | $382.54 |
| Idaho | $381.74 | $381.74 |
| Louisiana | $381.03 | $381.03 |
| Ohio | $380.90 | $380.90 |
| Iowa | $379.61 | $379.61 |
| Tennessee | $377.82 | $377.82 |
| Kansas | $375.84 | $375.84 |
| Oklahoma | $372.62 | $372.62 |
| Kentucky | $371.58 | $371.58 |
| West Virginia | $365.81 | $365.81 |
| Alabama | $365.17 | $365.17 |
| Mississippi | $360.49 | $360.49 |
| Arkansas | $359.00 | $359.00 |

## Related codes

- 95700: EEG continuous recording, setup, monitoring, and review, each 24 hours — https://www.med-reveal.com/rates/95700-cpt-fee-schedule
- 95705: EEG monitoring without video, 2-12 hours, unmonitored — https://www.med-reveal.com/rates/95705-cpt-fee-schedule
- 95717: EEG continuous recording with video, 2-12 hours, physician review — https://www.med-reveal.com/rates/95717-cpt-fee-schedule
- 95782: Polysomnography, patient younger than 6 years, with video — https://www.med-reveal.com/rates/95782-cpt-fee-schedule
- 95805: Multiple sleep latency or maintenance of wakefulness testing — https://www.med-reveal.com/rates/95805-cpt-fee-schedule
- 95806: Sleep study, unattended, respiratory effort, airflow, and oximetry — https://www.med-reveal.com/rates/95806-cpt-fee-schedule
- 95807: Sleep study, attended, simultaneous recording of ventilation and heart rate — https://www.med-reveal.com/rates/95807-cpt-fee-schedule
- 95808: Polysomnography, sleep staging with 1-3 additional parameters — https://www.med-reveal.com/rates/95808-cpt-fee-schedule

Commercial negotiated rates for 95816 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules