go back

Texas rates for HCPCS 95810

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.35 / $120.68 / $169.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.93 / $679.75 / $1,065.40
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.44 / $129.85 / $275.51
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$247.60 / $318.38 / $440.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$395.30 / $525.21 / $792.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.29 / $579.34 / $737.16
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.75 / $113.02 / $143.63
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$492.29 / $492.29 / $492.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.89 / $430.52 / $803.14
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $698.66 / $1,068.11
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.36 / $164.51 / $164.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.02 / $823.33 / $1,311.72
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.68 / $163.97 / $287.75
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$485.88 / $663.70 / $1,021.01
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$275.57 / $701.13 / $701.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,200.00 / $6,200.00 / $6,200.00
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$2,600.00 / $2,600.00 / $2,600.00
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$7,000.00 / $7,000.00 / $7,000.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.48 / $833.29 / $1,177.38
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.66 / $171.73 / $208.77
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$582.04 / $759.19 / $922.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.88 / $733.91 / $1,390.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.66 / $892.76 / $1,571.94
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.68 / $163.33 / $281.17
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$489.79 / $663.70 / $1,010.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.51 / $702.57 / $1,169.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.16 / $136.96 / $237.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$397.78 / $551.04 / $916.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.29 / $607.53 / $826.21
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.79 / $112.82 / $152.58
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$423.49 / $494.71 / $673.65