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Tennessee 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 $162 · 10th–90th $117$3160%20%10th90th$162Professionalmedian $537 · 10th–90th $126$1,0230%10%10th90th$537$2.0$10.0$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
$117.49 / $131.83 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $758.58 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $151.36 / $346.74
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$181.97 / $239.88 / $616.60
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $588.84 / $977.24
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $645.65 / $912.01
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $151.36 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $524.81 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $741.31 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $190.55 / $281.84
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $741.31 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $870.96 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $186.21 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $676.08 / $1,174.90
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $6,165.95 / $6,165.95
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,122.02
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3,981.07 / $4,570.88 / $4,570.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $812.83 / $1,230.27
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $173.78 / $263.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $630.96 / $977.24