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Sleep Airway Exam Under Light Sedation

Minnesota rates for HCPCS 42975

This procedure examines the throat and airway using a thin scope while a patient is under light sedation that mimics natural sleep, to observe where and how the airway narrows or collapses. It's used to help pinpoint the source of snoring or sleep apnea before deciding on treatment, such as surgery or an oral device. The exam is done in real time as the sedation takes effect.

Rates data updated July 2026.

How much does Sleep Airway Exam Under Light Sedation cost?

$981

Typical total for the visit. In Minnesota, July 2026.

Insurers have agreed to pay about $981 for this procedure. That total is two separate charges: $240 to the doctor who performs it, and $741 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$240$170 to $316
Facility feeThe hospital or surgery center$741$309 to $3,548

How much rates vary

Facilitymedian $741 · 10th to 90th $219 to $5,888Professionalmedian $240 · 10th to 90th $110 to $389
$50.0$200.0$1.0K$5.0Kfacility $741professional $240

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$3,467.37
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$154.88
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$4,073.80
Typical High
$12,302.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$239.88
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$446.68
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$741.31
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$251.19
Typical High
$380.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$602.56
Typical High
$3,801.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$229.09
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,570.40
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$229.09
Typical High
$457.09

Where Minnesota sits

The same service costs 20.4 times more in Wyoming than in Montana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeMinnesota $981 · 46th of 50
WY $6,322MT $309

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.