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Washington, DC rates for HCPCS 95811

Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist

Facilitymedian $282 · 10th–90th $112$4470%20%10th90th$282Professionalmedian $479 · 10th–90th $123$9330%5%10%10th90th$479$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
$112.20 / $281.84 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $724.44 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $218.78 / $467.74
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$257.04 / $371.54 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $549.54 / $954.99
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $707.95 / $2,951.21
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $134.90 / $162.18
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $588.84 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,023.29 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $213.80 / $354.81
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $831.76 / $1,621.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $912.01 / $1,548.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $147.91 / $269.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$660.69 / $758.58 / $1,288.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,047.13 / $1,949.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $199.53 / $338.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $831.76 / $1,621.81