# CPT 95864: Ndl Emg 4 Xtr W/wo Related Paraspinal Areas

Medicare CPT 95864 pays $240.49 in a non-facility setting and $240.49 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $214.68 in Arkansas to $282.76 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/95864-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $240.49 |
| National facility | $240.49 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $282.76 | $282.76 |
| District of Columbia | $275.06 | $275.06 |
| California | $273.08 | $273.08 |
| Washington | $266.07 | $266.07 |
| New Jersey | $265.83 | $265.83 |
| New York | $264.60 | $264.60 |
| Massachusetts | $263.19 | $263.19 |
| Hawaii | $262.88 | $262.88 |
| Connecticut | $255.71 | $255.71 |
| Colorado | $251.66 | $251.66 |
| Oregon | $249.41 | $249.41 |
| Maryland | $248.90 | $248.90 |
| New Hampshire | $247.19 | $247.19 |
| Rhode Island | $247.09 | $247.09 |
| Florida | $243.91 | $243.91 |
| Minnesota | $243.38 | $243.38 |
| Puerto Rico | $242.34 | $242.34 |
| Virgin Islands | $242.34 | $242.34 |
| Montana | $240.48 | $240.48 |
| Nevada | $240.16 | $240.16 |
| Wyoming | $239.70 | $239.70 |
| North Dakota | $238.70 | $238.70 |
| South Dakota | $238.49 | $238.49 |
| Delaware | $238.43 | $238.43 |
| Texas | $237.95 | $237.95 |
| Pennsylvania | $237.74 | $237.74 |
| Illinois | $237.62 | $237.62 |
| Vermont | $237.27 | $237.27 |
| Virginia | $236.67 | $236.67 |
| Arizona | $234.70 | $234.70 |
| Georgia | $233.23 | $233.23 |
| Maine | $231.68 | $231.68 |
| Michigan | $231.18 | $231.18 |
| Wisconsin | $231.15 | $231.15 |
| Utah | $229.82 | $229.82 |
| North Carolina | $227.83 | $227.83 |
| South Carolina | $226.91 | $226.91 |
| New Mexico | $226.76 | $226.76 |
| Indiana | $226.34 | $226.34 |
| Missouri | $226.22 | $226.22 |
| Louisiana | $225.61 | $225.61 |
| Ohio | $225.49 | $225.49 |
| Nebraska | $225.32 | $225.32 |
| Idaho | $225.09 | $225.09 |
| Iowa | $224.00 | $224.00 |
| Tennessee | $223.38 | $223.38 |
| Kansas | $222.42 | $222.42 |
| Oklahoma | $221.34 | $221.34 |
| Kentucky | $221.06 | $221.06 |
| West Virginia | $219.16 | $219.16 |
| Alabama | $217.60 | $217.60 |
| Mississippi | $215.70 | $215.70 |
| Arkansas | $214.68 | $214.68 |

## 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 95864 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