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Wisconsin 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 $251 · 10th–90th $214$5010%20%10th90th$251Professionalmedian $550 · 10th–90th $129$1,5490%5%10th90th$550$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$213.80 / $251.19 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $741.31 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $251.19 / $954.99
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$109.65 / $190.55 / $245.47
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $562.34 / $1,288.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $933.25 / $2,137.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $181.97 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $758.58 / $1,698.24
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $562.34 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$309.03 / $363.08 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,621.81 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $295.12 / $562.34
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$676.08 / $1,348.96 / $2,454.71
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,318.26 / $1,737.80
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $245.47 / $323.59
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$912.01 / $1,122.02 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,258.93 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $281.84 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$562.34 / $1,000.00 / $7,079.46
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $363.08
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $954.99 / $1,548.82
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $190.55 / $309.03
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $831.76 / $1,288.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,479.11 / $2,238.72
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$275.42 / $741.31 / $741.31
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $2,951.21 / $6,165.95
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $660.69 / $2,570.40
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$645.65 / $2,344.23 / $7,079.46
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $2,344.23 / $3,801.89
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$288.40 / $389.05 / $912.01
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$616.60 / $1,230.27 / $3,715.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,174.90 / $2,187.76
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $338.84 / $562.34
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$602.56 / $1,548.82 / $2,290.87