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Utah 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 $151 · 10th–90th $151$1510%50%$151Professionalmedian $550 · 10th–90th $120$1,0230%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $812.83 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $151.36 / $562.34
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$199.53 / $275.42 / $588.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $676.08 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,023.29 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $204.17 / $295.12
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $812.83 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,479.11
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $831.76 / $1,288.25
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $154.88 / $269.15
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $676.08 / $1,023.29
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,023.29 / $1,548.82
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $199.53 / $323.59
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$549.54 / $794.33 / $1,000.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $758.58 / $1,348.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $831.76 / $1,202.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $158.49 / $223.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $676.08 / $977.24