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Georgia 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 $135 · 10th–90th $115$3630%20%10th90th$135Professionalmedian $513 · 10th–90th $126$1,0960%5%10th90th$513$10.0$50.0$200.0$1.0K$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
$114.82 / $134.90 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $758.58 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $177.83 / $380.19
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$213.80 / $295.12 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $562.34 / $1,071.52
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $741.31 / $1,230.27
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $169.82 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $524.81 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $794.33 / $1,548.82
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $165.96 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $588.84 / $1,047.13
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $616.60 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,000.00 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $204.17 / $346.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $812.83 / $1,348.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $933.25 / $2,884.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $162.18 / $812.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$416.87 / $416.87 / $758.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $776.25 / $2,884.03
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $870.96 / $1,380.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $954.99 / $1,778.28
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $194.98 / $331.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $758.58 / $1,445.44