CPT 95860 Neurology/EMG
Needle emg 1 extremity Cost
Body System: Nervous
Medicare Facility Rate
$120
CMS PFS CY2026
Medicare Non-Facility Rate
$120
Office/clinic setting
Hospital Outpatient
$136
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.94
Work RVU
2.59
Facility PE RVU
0.05
Malpractice RVU
3.58
Total RVU
Frequently Asked Questions
How much does Needle emg 1 extremity cost?
The Medicare facility rate is $120. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $136.
How much does Needle emg 1 extremity cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $120.