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Overnight Sleep Study With CPAP Adjustment

Delaware 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 $138 · 10th–90th $129$3550%50%10th90th$138Professionalmedian $479 · 10th–90th $117$8910%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
Setting
Facility
Modifier
26 · Professional part
Typical Low
$128.82
Median
$138.04
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$660.69
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$162.18
Typical High
$426.58
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$416.87
Median
$524.81
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$912.01
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$104.71
Median
$186.21
Typical High
$269.15
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$467.74
Median
$741.31
Typical High
$1,096.48
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Highmark BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$933.25
Typical High
$1,445.44
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$100.00
Median
$165.96
Typical High
$288.40
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$436.52
Median
$724.44
Typical High
$1,174.90