Cost analysis for CPT 95886 — Needle measurement of electrical activity in arm or leg muscles, complete study
Average Medicare Payment
$67.42
2023 data
Total Payments (2023)
$59.2M
Services (2023)
836.2K
Price Change (2014–2023)
+5.8%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $63.73 | $58.3M | 887.4K | — |
| 2015 | $63.50 | $58.4M | 890.7K | -0.4% |
| 2016 | $63.34 | $59.6M | 909.7K | -0.3% |
| 2017 | $63.21 | $59.5M | 913.4K | -0.2% |
| 2018 | $63.84 | $60.9M | 923.7K | +1.0% |
| 2019 | $66.72 | $64.0M | 925.5K | +4.5% |
| 2020 | $68.83 | $53.8M | 751.9K | +3.2% |
| 2021 | $72.35 | $62.3M | 823.9K | +5.1% |
| 2022 | $70.64 | $60.7M | 820.7K | -2.4% |
| 2023 | $67.42 | $59.2M | 836.2K | -4.6% |
The most expensive state pays 2.2x more than the cheapest for this procedure. AK averages $85.64 vs ND at $38.53.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $85.64 | $127.1K | 1.5K | 18 |
| GU | $85.21 | $22.3K | 262 | 1 |
| NY | $84.69 | $7.0M | 83.0K | 562 |
| NJ | $83.06 | $2.4M | 28.8K | 277 |
| CA | $82.46 | $6.8M | 82.6K | 546 |
| DC | $81.74 | $123.0K | 1.5K | 12 |
| MD | $81.22 | $2.0M | 24.4K | 138 |
| RI | $80.16 | $132.4K | 1.7K | 20 |
| PR | $78.21 | $105.4K | 1.3K | 14 |
| FL | $76.91 | $4.7M | 60.6K | 414 |
| CO | $74.81 | $773.8K | 10.3K | 119 |
| CT | $73.82 | $486.4K | 6.6K | 76 |
| NV | $73.70 | $1.1M | 15.5K | 53 |
| WY | $73.42 | $149.6K | 2.0K | 14 |
| DE | $72.12 | $419.8K | 5.8K | 24 |
| AZ | $71.78 | $1.7M | 24.2K | 143 |
| VA | $70.57 | $1.6M | 22.4K | 163 |
| OR | $70.52 | $568.8K | 8.1K | 81 |
| TX | $69.82 | $4.4M | 62.4K | 451 |
| NC | $68.91 | $1.4M | 19.9K | 193 |
| HI | $68.14 | $114.9K | 1.7K | 16 |
| UT | $67.60 | $404.7K | 6.0K | 63 |
| WA | $67.25 | $934.9K | 13.9K | 129 |
| MN | $66.82 | $780.1K | 11.7K | 118 |
| LA | $66.80 | $845.2K | 12.7K | 89 |
| SC | $66.77 | $980.3K | 14.7K | 100 |
| MA | $66.59 | $1.2M | 17.7K | 147 |
| KS | $66.24 | $580.2K | 8.8K | 46 |
| GA | $66.08 | $1.0M | 15.6K | 220 |
| MI | $65.57 | $1.8M | 27.8K | 299 |
| TN | $63.95 | $1.2M | 18.8K | 123 |
| PA | $63.78 | $2.4M | 37.1K | 321 |
| IN | $63.73 | $1.0M | 16.4K | 149 |
| NM | $63.61 | $201.8K | 3.2K | 27 |
| IL | $63.44 | $2.0M | 31.1K | 242 |
| NH | $62.62 | $173.5K | 2.8K | 42 |
| NE | $62.22 | $323.8K | 5.2K | 40 |
| OK | $61.82 | $599.6K | 9.7K | 50 |
| AL | $61.53 | $665.1K | 10.8K | 92 |
| MS | $61.48 | $541.9K | 8.8K | 43 |
| IA | $59.74 | $359.7K | 6.0K | 47 |
| AR | $59.40 | $492.9K | 8.3K | 46 |
| WV | $58.28 | $251.0K | 4.3K | 32 |
| OH | $56.83 | $1.8M | 31.5K | 259 |
| KY | $56.06 | $547.9K | 9.8K | 89 |
| MO | $55.63 | $754.7K | 13.6K | 124 |
| WI | $55.16 | $489.6K | 8.9K | 123 |
| MT | $54.34 | $185.4K | 3.4K | 23 |
| SD | $50.38 | $276.5K | 5.5K | 23 |
| ME | $49.43 | $120.5K | 2.4K | 16 |
| VT | $46.78 | $39.2K | 839 | 15 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Sirius Imaging Inc | Independent Diagnostic Testing Facility (IDTF) | CA | $440.5K | 5.0K | $87.92 |
| Luna Healing Solution Inc | Independent Diagnostic Testing Facility (IDTF) | NY | $277.3K | 3.0K | $91.31 |
| Rk Med Imaging Inc | Independent Diagnostic Testing Facility (IDTF) | NY | $254.2K | 2.8K | $91.30 |
| Glenn Balfour | Neurology | CA | $216.8K | 2.6K | $84.98 |
| Danny Bartel | Neurology | TX | $195.3K | 2.6K | $75.69 |
| Robert Kurtzke | Neurology | VA | $162.3K | 1.8K | $88.91 |
| Reed Stone | Neurology | FL | $142.5K | 1.8K | $79.51 |
| Bess Chang | Neurology | NV | $141.2K | 1.8K | $76.89 |
| Jay Mahajan | Neurology | NV | $136.3K | 1.8K | $76.79 |
| Kevin Do | General Practice | CA | $131.6K | 1.5K | $87.45 |
| Leo Germin | Neurology | NV | $127.2K | 1.7K | $76.30 |
| Joseph Kandel | Neurology | FL | $120.3K | 917 | $131.19 |
| Michael Amoashiy | Neurology | NY | $115.2K | 1.3K | $91.15 |
| William Kossow | Physical Medicine and Rehabilitation | KS | $115.1K | 1.6K | $70.51 |
| Erik Herman | Physical Medicine and Rehabilitation | FL | $113.8K | 1.5K | $74.16 |
| Drasko Simovic | Neurology | MA | $110.0K | 1.4K | $76.77 |
| Remy Valdivia | Physical Medicine and Rehabilitation | TN | $108.8K | 1.6K | $68.83 |
| Michael Collins | Physical Therapist in Private Practice | AR | $107.0K | 1.6K | $65.19 |
| Karen Garnaas | Neurology | CA | $102.8K | 1.3K | $80.48 |
| Ben Dirkx | Osteopathic Manipulative Medicine | CA | $101.9K | 1.2K | $85.80 |
The data suggests significant pricing inconsistencies for CPT 95886. With a 2.2x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.