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Overnight Sleep Study With CPAP Adjustment

New Mexico rates for HCPCS 95811

This is an overnight sleep study performed in a sleep lab that monitors breathing, oxygen levels, heart rate, brain waves, and muscle activity while the patient sleeps, and includes fitting and adjusting a CPAP or similar airflow device during the night. It is typically used for a patient already known or suspected to have sleep apnea, to find the right pressure setting for the device.

Facilitymedian $186 · 10th–90th $174$2240%20%10th90th$186Professionalmedian $550 · 10th–90th $117$1,0000%5%10th90th$550$50.0$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
Setting
Facility
Modifier
26 · Professional part
Typical Low
$173.78
Median
$186.21
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$107.15
Median
$147.91
Typical High
$398.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$426.58
Median
$660.69
Typical High
$1,023.29
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$446.68
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$131.83
Median
$181.97
Typical High
$257.04
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$588.84
Median
$812.83
Typical High
$1,023.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$891.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$1,258.93
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$131.83
Median
$181.97
Typical High
$234.42
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$588.84
Median
$812.83
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,096.48
Typical High
$1,621.81
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$151.36
Median
$223.87
Typical High
$316.23
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$630.96
Median
$891.25
Typical High
$1,288.25