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Overnight Sleep Study With CPAP Adjustment

Alaska rates for HCPCS 95811

This is an overnight sleep study performed in a sleep lab that monitors breathing, oxygen levels, heart rate, brain waves, and muscle activity while the patient sleeps, and includes fitting and adjusting a CPAP or similar airflow device during the night. It is typically used for a patient already known or suspected to have sleep apnea, to find the right pressure setting for the device.

Facilitymedian $355 · 10th–90th $355$3550%50%100%$355Professionalmedian $537 · 10th–90th $120$1,2020%5%10th90th$537$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$724.44
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$114.82
Median
$141.25
Typical High
$354.81
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$371.54
Median
$371.54
Typical High
$645.65
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$436.52
Median
$588.84
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,318.26
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$162.18
Median
$295.12
Typical High
$446.68
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$707.95
Median
$1,023.29
Typical High
$1,445.44
Moda Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,698.24
Typical High
$2,951.21
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$117.49
Median
$331.13
Typical High
$630.96
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$371.54
Median
$371.54
Typical High
$645.65
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$478.63
Median
$1,318.26
Typical High
$2,344.23
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,630.27
Typical High
$3,311.31
Premera BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$229.09
Median
$489.78
Typical High
$645.65
Premera BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$933.25
Median
$2,137.96
Typical High
$2,630.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,621.81
Typical High
$1,819.70
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$120.23
Median
$218.78
Typical High
$446.68
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$489.78
Median
$954.99
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,513.56
Typical High
$3,019.95
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$100.00
Median
$245.47
Typical High
$776.25
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$478.63
Median
$1,148.15
Typical High
$2,290.87