What does UnitedHealthcare pay for CPT 95819 in Austin-Round Rock-San Marcos, TX?

The local peer median for CPT 95819 under UnitedHealthcare in Austin-Round Rock-San Marcos, TX is $305.46, based on 138 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 95819 under UnitedHealthcare in Austin-Round Rock-San Marcos, TX?

The P90, the top of the local market and Reddenda's target rate, is $663.32.

How does UnitedHealthcare's rate for CPT 95819 compare to Medicare?

The UnitedHealthcare local median of $305.46 is 63% of Medicare's national non-facility rate of $482.31 for CPT 95819.

Reddenda · Rate Intelligence · Austin-Round Rock-San Marcos, TX

95819 under UnitedHealthcare in Austin-Round Rock-San Marcos, TX

Name: UnitedHealthcare rates for CPT 95819 in Austin-Round Rock-San Marcos, TX
Creator: Reddenda

EEG, awake & asleep · Local peer median $305.46 · High confidence

$305.46 local peer median. In the Austin-Round Rock-San Marcos, TX market, UnitedHealthcare pays a local peer median of $305.46 for CPT 95819 (EEG, awake & asleep), based on 138 providers in Reddenda's index of UnitedHealthcare's own published in-network rates. The top of the local market, the P90 target, is $663.32, 117% above the median. A provider billed below the local median is being paid less than peers holding the identical UnitedHealthcare contract in Austin-Round Rock-San Marcos, TX for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 138 providers · 138 rate records

P10

$262.76

P25

$286.37

Median

$305.46

P75

$352.65

P90 (target)

$663.32

P10$262.76

P25$286.37

Median (P50)$305.46

P75$352.65

P90 target$663.32

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $131.37 – $1,881.27

The local peer median for CPT 95819 under UnitedHealthcare in Austin-Round Rock-San Marcos, TX is $305.46, drawn from 138 distinct providers.Source: UnitedHealthcare’s published machine-readable files
The bottom of the local market (P10) is $262.76 and the top (P90) is $663.32; the median-to-P90 spread is $357.86.Source: UnitedHealthcare’s published machine-readable files
The lowest published rate in this market is $131.37; the highest is $1,881.27.Source: UnitedHealthcare’s published machine-readable files
This benchmark is drawn from 138 individual rate records that UnitedHealthcare itself published for this code in this metro.Source: UnitedHealthcare’s published machine-readable files
Medicare's national non-facility rate for CPT 95819 is $482.31, making the UnitedHealthcare local median 63% of Medicare.Source: Medicare Physician Fee Schedule; UnitedHealthcare’s published machine-readable files
31.2% of indexed providers cluster at the single most common rate; the remainder shows a real, scoreable spread across the local market.Source: UnitedHealthcare’s published machine-readable files
A federal No Surprises Act arbitrator may weigh up to four plan years of a provider's own contracted rate history and local market share when resolving a payment dispute over this exact code and payer.Source: 45 CFR §149.510(c)(4)(iii)(B)

138 providers bill this code to this payer in this metro.

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This is the local market for CPT 95819 (EEG, awake & asleep) under UnitedHealthcare in Austin-Round Rock-San Marcos, TX. Enter your NPI to see your own contracted rate against this peer curve, per payer and per code. Free, about 15 seconds, no card and no PHI.

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Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.

Modeled from UnitedHealthcare's own published in-network rates, never guaranteed and never a national average. Peer basis: same CPT, same payer file, same metro (CBSA). Federal citation for the underlying obligation: UnitedHealthcare’s published machine-readable files. Page generated 2026-08-23 23:53 UTC; the live index is queried in real time on every request.