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Virginia 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 $112$3310%10%10th90th$191Professionalmedian $537 · 10th–90th $126$1,0470%5%10%10th90th$537$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
$112.20 / $190.55 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $724.44 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $154.88 / $389.05
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$257.04 / $257.04 / $512.86
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $549.54 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $870.96 / $1,621.81
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $158.49 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$501.19 / $707.95 / $1,318.26
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $794.33 / $2,570.40
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $134.90 / $186.21
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $645.65 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $977.24 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $186.21 / $309.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $776.25 / $1,148.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $831.76 / $1,047.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $134.90 / $190.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$549.54 / $691.83 / $954.99
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,174.90 / $1,288.25
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$234.42 / $288.40 / $295.12
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $812.83 / $2,570.40
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $181.97 / $275.42
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $741.31 / $1,096.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $912.01 / $1,445.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $177.83 / $281.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $741.31 / $1,174.90