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New York rates for HCPCS 95810

Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist

Facilitymedian $141 · 10th–90th $105$2880%10%20%10th90th$141Professionalmedian $468 · 10th–90th $117$1,0470%5%10th90th$468$20.0$100.0$500.0$2.0K

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
$104.71 / $141.25 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $724.44 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $181.97 / $389.05
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$128.82 / $281.84 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $562.34 / $1,096.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $602.56 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $112.20 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $467.74 / $1,288.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $85.11 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $380.19 / $977.24
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $691.83 / $870.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.18 / $131.83 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $1,023.29 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $190.55 / $407.38
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $812.83 / $1,905.46
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $660.69 / $1,348.96
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $177.83 / $251.19
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$602.56 / $870.96 / $1,148.15
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $776.25 / $1,318.26
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $147.91 / $251.19
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $630.96 / $1,071.52
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $691.83 / $691.83
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $138.04 / $173.78
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $851.14 / $1,621.81
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $165.96 / $309.03
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$562.34 / $676.08 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $758.58 / $1,819.70
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $165.96 / $436.52
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $776.25 / $1,949.84
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$95.50 / $138.04 / $630.96
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $776.25 / $1,737.80
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $147.91 / $331.13
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$407.38 / $630.96 / $1,348.96