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CPT 95938 · Medicine/E&M · Evaluation & Management

Somatosensory testing

Somatosensory evoked potential testing, which measures nerve signal transmission, ranges from $402 to $531 across different facilities, making it essential to verify your specific charges before payment.

By David Park , Healthcare Cost Researcher · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.

Medicare + CMS benchmark data
Publicly available pricing
Updated 2026-04-03
Rate comparison — Somatosensory testing
Non-facility$99Medicare facility$402Hospital outpatient$531$432 difference between lowest and highest rate
$402
Medicare facility rate
$99
Non-facility rate

Somatosensory evoked potential testing (CPT 95938) measures electrical activity in the nervous system by stimulating nerves and recording brain responses to assess nerve pathway function. Patients with suspected spinal cord injuries, multiple sclerosis, or peripheral neuropathy typically receive this diagnostic test. This procedure charges approximately 8.5x the Medicare reimbursement rate, with potential billing differences of $2,100 between facility and non-facility settings.

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Compare by care setting
The same procedure costs different amounts depending on where you receive care.
$531
Hospital Outpatient rate for Somatosensory testing
Medicare facility benchmark: $402
Regional rate comparison — Somatosensory testing
Top 5 lowest and highest localities by Medicare facility rate
National avg $402REST OF ILLINOIS, IL$464DETROIT, MI$489QUEENS, NY$494MIAMI, FL$612CHICAGO, IL$577NYC SUBURBS/LONG ISLAND, NY$551

Facility rate

$402

National Medicare benchmark

Non-facility rate

$99

Office setting benchmark

Data sources

3

23 data points

Key insights for CPT 95938

Facility vs office setting

$303 difference

Non-facility setting is less expensive for this procedure

What this procedure costs across different settings

The same procedure can cost very different amounts depending on where it's performed. These are the Medicare-allowed amounts — what hospitals actually charge can be 3-10x higher.

SettingMedicare ratevs lowest
Facility (physician office)$402+306%
Non-facility (office)$99Lowest
Outpatient (APC)$531+436%

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About this data

Rates shown are from the 2026 Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System (OPPS), Ambulatory Surgery Center Payment System, Clinical Laboratory Fee Schedule, Durable Medical Equipment Fee Schedule, and CMS Inpatient Prospective Payment System (DRG weights). Regional adjustments use CMS Geographic Practice Cost Indices (GPCI). Hospital charges are from CMS Hospital Price Transparency machine-readable files. All data is publicly available under federal law (45 CFR Part 180).

This data is for informational purposes only and does not constitute medical or financial advice. Actual costs depend on insurance coverage, negotiated rates, and individual circumstances.

Related procedures

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

Data: Medicare Physician Fee Schedule, CMS Inpatient PPS (IPPS), Outpatient PPS (OPPS), ASC Payment System, Clinical Lab Fee Schedule (CLFS), National Average Drug Acquisition Cost (NADAC). FY 2024 data. All publicly available from CMS.

Methodology: Facility rate applies when the procedure is performed in a hospital or ASC. Non-facility rate applies in a physician office. GPCI adjustments reflect regional cost-of-living differences.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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