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Maryland 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 $141 · 10th–90th $112$1510%50%10th90th$141Professionalmedian $513 · 10th–90th $126$1,0470%5%10th90th$513$100.0$200.0$500.0$1.0K$2.0K

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
$112.20 / $141.25 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $776.25 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $165.96 / $380.19
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$190.55 / $257.04 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $588.84 / $1,122.02
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $707.95 / $891.25
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $134.90 / $154.88
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $588.84 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $933.25 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $177.83 / $309.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $776.25 / $1,412.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $831.76 / $1,096.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $138.04 / $194.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $691.83 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $851.14 / $1,479.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $162.18 / $281.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $691.83 / $1,174.90
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $758.58 / $1,122.02
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $128.82 / $186.21
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$562.34 / $630.96 / $933.25