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California rates for HCPCS 95961

Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of attendance by a physician or other qualified health care professional

Facilitymedian $891 · 10th–90th $145–$1,0000%20%10th90th$891Professionalmedian $195 · 10th–90th $162–$3020%20%40%10th90th$195$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$144.54 / $158.49 / $891.25
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $213.80 / $263.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $177.83 / $302.00
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82