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Michigan 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 $138 · 10th–90th $138–$1550%50%90th$138Professionalmedian $537 · 10th–90th $129–$1,0470%5%10%10th90th$537$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
$138.04 / $138.04 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $776.25 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $194.98 / $537.03
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$199.53 / $218.78 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $616.60 / $1,148.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $125.89 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $776.25 / $831.76
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $575.44 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $912.01 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $186.21 / $354.81
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $707.95 / $1,479.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$138.04 / $138.04 / $338.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $794.33 / $1,479.11
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $151.36 / $371.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$117.49 / $199.53 / $257.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $645.65 / $1,148.15
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $812.83 / $1,862.09
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $158.49 / $380.19
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$489.78 / $645.65 / $1,479.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $776.25 / $1,148.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $154.88 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $616.60 / $891.25