# CPT 95869: Needle Emg Thrc Paraspi Musc Excluding T1/t12

Medicare CPT 95869 pays $95.19 in a non-facility setting and $95.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $83.12 in Arkansas to $110.58 in District of Columbia, a 33% spread.

Web page: https://www.med-reveal.com/rates/95869-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $95.19 |
| National facility | $95.19 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $110.58 | $110.58 |
| California | $110.22 | $110.22 |
| Washington | $106.86 | $106.86 |
| New Jersey | $106.25 | $106.25 |
| Alaska | $106.10 | $106.10 |
| Hawaii | $106.03 | $106.03 |
| New York | $105.62 | $105.62 |
| Massachusetts | $105.53 | $105.53 |
| Connecticut | $101.97 | $101.97 |
| Colorado | $100.38 | $100.38 |
| Oregon | $99.41 | $99.41 |
| Maryland | $98.92 | $98.92 |
| New Hampshire | $98.44 | $98.44 |
| Rhode Island | $98.02 | $98.02 |
| Minnesota | $96.87 | $96.87 |
| Florida | $96.41 | $96.41 |
| Puerto Rico | $96.08 | $96.08 |
| Virgin Islands | $96.08 | $96.08 |
| Montana | $95.19 | $95.19 |
| Nevada | $95.11 | $95.11 |
| Wyoming | $94.93 | $94.93 |
| North Dakota | $94.60 | $94.60 |
| South Dakota | $94.53 | $94.53 |
| Delaware | $94.17 | $94.17 |
| Texas | $93.91 | $93.91 |
| Vermont | $93.88 | $93.88 |
| Pennsylvania | $93.69 | $93.69 |
| Virginia | $93.50 | $93.50 |
| Illinois | $93.38 | $93.38 |
| Arizona | $92.50 | $92.50 |
| Georgia | $91.63 | $91.63 |
| Maine | $91.16 | $91.16 |
| Wisconsin | $91.05 | $91.05 |
| Michigan | $90.59 | $90.59 |
| Utah | $90.16 | $90.16 |
| North Carolina | $89.33 | $89.33 |
| South Carolina | $88.80 | $88.80 |
| Indiana | $88.68 | $88.68 |
| New Mexico | $88.57 | $88.57 |
| Missouri | $88.41 | $88.41 |
| Nebraska | $88.24 | $88.24 |
| Idaho | $88.09 | $88.09 |
| Louisiana | $88.09 | $88.09 |
| Ohio | $88.05 | $88.05 |
| Iowa | $87.60 | $87.60 |
| Tennessee | $87.25 | $87.25 |
| Kansas | $86.81 | $86.81 |
| Oklahoma | $86.18 | $86.18 |
| Kentucky | $85.99 | $85.99 |
| West Virginia | $84.86 | $84.86 |
| Alabama | $84.49 | $84.49 |
| Mississippi | $83.51 | $83.51 |
| Arkansas | $83.12 | $83.12 |

## 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 95869 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