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New Jersey 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 $263 · 10th–90th $162$1,1750%10%10th90th$263Professionalmedian $513 · 10th–90th $123$1,1220%5%10th90th$513$50.0$200.0$1.0K$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
$162.18 / $263.03 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $758.58 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $177.83 / $457.09
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$181.97 / $218.78 / $616.60
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $588.84 / $1,096.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $645.65 / $676.08
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $120.23 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $524.81 / $524.81
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $218.78 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $1,023.29 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $190.55 / $323.59
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $831.76 / $1,513.56
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $724.44 / $1,412.54
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $190.55 / $245.47
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$602.56 / $933.25 / $1,202.26
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $676.08 / $1,659.59
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $125.89 / $302.00
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $549.54 / $1,348.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $758.58 / $1,548.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $144.54 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$426.58 / $616.60 / $1,230.27