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Montana 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 $191 · 10th–90th $191$2240%50%90th$191Professionalmedian $550 · 10th–90th $126$1,1220%5%10th90th$550$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $831.76 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $186.21 / $380.19
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $676.08 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$190.55 / $190.55 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $933.25 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $186.21 / $269.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $758.58 / $1,202.26
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,122.02 / $1,318.26
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$190.55 / $190.55 / $223.87
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,318.26 / $1,698.24
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $186.21 / $269.15
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$537.03 / $758.58 / $1,148.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,071.52 / $1,479.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $208.93 / $323.59
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$741.31 / $851.14 / $1,148.15