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Iowa 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 $251 · 10th–90th $117$4570%10%20%10th90th$251Professionalmedian $589 · 10th–90th $129$1,4450%5%10th90th$589$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
$117.49 / $251.19 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $891.25 / $3,235.94
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $199.53 / $602.56
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$199.53 / $213.80 / $645.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $691.83 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,380.38 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$204.17 / $275.42 / $316.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$758.58 / $1,148.15 / $1,412.54
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $891.25 / $3,388.44
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $186.21 / $741.31
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$489.78 / $724.44 / $2,951.21
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,348.96 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $275.42 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$562.34 / $1,000.00 / $3,890.45
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,584.89 / $1,819.70
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$251.19 / $316.23 / $380.19
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$977.24 / $1,258.93 / $1,445.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,288.25 / $1,698.24
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$239.88 / $257.04 / $331.13
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,000.00 / $1,071.52 / $1,348.96
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $660.69 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,202.26 / $1,737.80
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $257.04 / $354.81
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $933.25 / $1,380.38
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,548.82
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$239.88 / $239.88 / $281.84
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,258.93