# CPT 95863: Ndl Emg 3 Xtr W/wo Related Paraspinal Areas

Medicare CPT 95863 pays $220.45 in a non-facility setting and $220.45 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $196.90 in Arkansas to $259.67 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/95863-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $220.45 |
| National facility | $220.45 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $259.67 | $259.67 |
| District of Columbia | $251.95 | $251.95 |
| California | $249.96 | $249.96 |
| Washington | $243.66 | $243.66 |
| New Jersey | $243.56 | $243.56 |
| New York | $242.52 | $242.52 |
| Massachusetts | $241.06 | $241.06 |
| Hawaii | $240.64 | $240.64 |
| Connecticut | $234.36 | $234.36 |
| Colorado | $230.54 | $230.54 |
| Oregon | $228.49 | $228.49 |
| Maryland | $228.13 | $228.13 |
| New Hampshire | $226.49 | $226.49 |
| Rhode Island | $226.45 | $226.45 |
| Florida | $223.81 | $223.81 |
| Minnesota | $222.87 | $222.87 |
| Puerto Rico | $222.12 | $222.12 |
| Virgin Islands | $222.12 | $222.12 |
| Montana | $220.44 | $220.44 |
| Nevada | $220.10 | $220.10 |
| Wyoming | $219.66 | $219.66 |
| North Dakota | $218.66 | $218.66 |
| Delaware | $218.57 | $218.57 |
| South Dakota | $218.45 | $218.45 |
| Texas | $218.14 | $218.14 |
| Illinois | $218.11 | $218.11 |
| Pennsylvania | $217.99 | $217.99 |
| Vermont | $217.39 | $217.39 |
| Virginia | $216.90 | $216.90 |
| Arizona | $215.16 | $215.16 |
| Georgia | $213.92 | $213.92 |
| Maine | $212.36 | $212.36 |
| Michigan | $212.12 | $212.12 |
| Wisconsin | $211.79 | $211.79 |
| Utah | $210.74 | $210.74 |
| North Carolina | $208.87 | $208.87 |
| South Carolina | $208.09 | $208.09 |
| New Mexico | $208.05 | $208.05 |
| Missouri | $207.50 | $207.50 |
| Indiana | $207.47 | $207.47 |
| Louisiana | $206.96 | $206.96 |
| Ohio | $206.84 | $206.84 |
| Nebraska | $206.51 | $206.51 |
| Idaho | $206.33 | $206.33 |
| Iowa | $205.32 | $205.32 |
| Tennessee | $204.80 | $204.80 |
| Kansas | $203.92 | $203.92 |
| Oklahoma | $203.01 | $203.01 |
| Kentucky | $202.80 | $202.80 |
| West Virginia | $201.22 | $201.22 |
| Alabama | $199.56 | $199.56 |
| Mississippi | $197.89 | $197.89 |
| Arkansas | $196.90 | $196.90 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 95863 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