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Hawaii 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

Professionalmedian $617 · 10th–90th $135$1,1750%5%10th90th$617$100.0$200.0$500.0$1.0K$2.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $794.33 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $162.18 / $645.65
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$501.19 / $660.69 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $912.01 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $158.49 / $229.09
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$645.65 / $741.31 / $891.25
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $1,174.90 / $1,230.27
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$234.42 / $269.15 / $281.84
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$891.25 / $891.25 / $933.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $954.99 / $1,174.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $151.36 / $190.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$724.44 / $794.33 / $1,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $831.76 / $1,148.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $147.91 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $691.83 / $933.25
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $912.01 / $1,148.15
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $162.18 / $186.21
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $758.58 / $870.96