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Massachusetts 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 $178 · 10th–90th $120$2570%20%40%10th90th$178Professionalmedian $562 · 10th–90th $126$1,4450%5%10th90th$562$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
$120.23 / $120.23 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $776.25 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $190.55 / $562.34
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$257.04 / $371.54 / $588.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $588.84 / $1,412.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$134.90 / $295.12 / $776.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $1,148.15 / $6,165.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $218.78 / $1,122.02
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $954.99 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,412.54 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $229.09 / $316.23
BCBS
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$69.18 / $120.23 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,122.02 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $208.93 / $354.81
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$602.56 / $933.25 / $1,548.82
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $478.63 / $1,148.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,288.25 / $2,041.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $223.87 / $338.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$602.56 / $1,023.29 / $1,584.89
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $257.04 / $1,174.90
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$134.90 / $295.12 / $776.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $1,148.15 / $6,165.95
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $218.78 / $1,122.02
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $954.99 / $3,981.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,230.27 / $2,137.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $229.09 / $380.19
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $1,000.00 / $1,737.80