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Indiana 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 $129$2290%20%10th90th$166Professionalmedian $501 · 10th–90th $126$1,0720%5%10th90th$501$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
$128.82 / $165.96 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $724.44 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $190.55 / $478.63
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$199.53 / $208.93 / $371.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $549.54 / $1,096.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $776.25 / $977.24
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $154.88 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $616.60 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $125.89 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $489.78 / $812.83
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $562.34 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $870.96 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $186.21 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $691.83 / $1,174.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $776.25 / $1,584.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $158.49 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $602.56 / $1,071.52