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Missouri 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 $155 · 10th–90th $120$1,0000%20%10th90th$155Professionalmedian $525 · 10th–90th $126$1,1220%5%10th90th$525$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 / $154.88 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $794.33 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $181.97 / $478.63
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$181.97 / $229.09 / $645.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $616.60 / $1,230.27
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $616.60 / $870.96
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $114.82 / $199.53
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
$602.56 / $758.58 / $1,174.90
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $151.36 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $602.56 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $794.33 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $151.36 / $218.78
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$549.54 / $660.69 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $891.25 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $186.21 / $288.40
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$501.19 / $707.95 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$288.40 / $758.58 / $758.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $977.24 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $204.17 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $776.25 / $3,890.45
Qualchoice
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $173.78 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $776.25 / $1,288.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $154.88 / $263.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $616.60 / $1,023.29