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Illinois 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 $166 · 10th–90th $123$2570%10%20%10th90th$166Professionalmedian $513 · 10th–90th $129$1,1220%5%10th90th$513$50.0$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
$123.03 / $165.96 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $758.58 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $199.53 / $537.03
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$117.49 / $257.04 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $588.84 / $1,148.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $630.96 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $138.04 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $512.86 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $562.34 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $912.01 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $186.21 / $281.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $741.31 / $1,202.26
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,023.29 / $3,311.31
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $213.80 / $831.76
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$501.19 / $812.83 / $2,884.03
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $776.25 / $851.14
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $147.91 / $158.49
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $616.60 / $691.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $954.99 / $1,479.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $190.55 / $302.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$489.78 / $707.95 / $1,071.52