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Kansas 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 $204 · 10th–90th $162$2950%20%10th90th$204Professionalmedian $550 · 10th–90th $126$1,0720%5%10th90th$550$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
$162.18 / $204.17 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $707.95 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $147.91 / $309.03
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$263.03 / $263.03 / $645.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $562.34 / $1,047.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $602.56 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $117.49 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $891.25 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $177.83 / $316.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $691.83 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,000.00 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $213.80 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $812.83 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $954.99 / $1,348.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $190.55 / $263.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $741.31 / $1,000.00