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Wisconsin 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 $363 · 10th–90th $224$3,8900%20%10th90th$363Professionalmedian $562 · 10th–90th $132$1,5850%5%10th90th$562$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$223.87 / $257.04 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $776.25 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $257.04 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$199.53 / $199.53 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $588.84 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $977.24 / $2,238.72
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $190.55 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$501.19 / $794.33 / $1,778.28
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $588.84 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$323.59 / $371.54 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,698.24 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $309.03 / $588.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$707.95 / $1,412.54 / $2,570.40
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,380.38 / $1,819.70
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $251.19 / $338.84
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$954.99 / $1,122.02 / $1,513.56
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,380.38 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $295.12 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$602.56 / $1,096.48 / $3,890.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $380.19
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $1,000.00 / $1,659.59
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $194.98 / $316.23
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$549.54 / $891.25 / $1,348.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,584.89 / $2,344.23
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$281.84 / $776.25 / $776.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $3,235.94 / $6,165.95
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $724.44 / $1,071.52
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$676.08 / $2,511.89 / $3,981.07
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $2,454.71 / $4,073.80
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$302.00 / $398.11 / $954.99
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$489.78 / $1,288.25 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,995.26 / $2,951.21
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $363.08 / $588.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$602.56 / $977.24 / $1,949.84