CPT 95806: Unattended Polysomnography in Sleep Lab
Medicare pays $71 and commercial payers pay $279 on average nationally for this procedure.
CPT code 95806 describes an unattended in-lab sleep study that records multiple physiologic parameters while the patient sleeps to evaluate suspected sleep disorders; the service type is a diagnostic polysomnography procedure and the typical site of service is a sleep clinic or sleep laboratory.
For related coverage guidance, see recent payer policy updates: Lumbar Microdiscectomy, Artificial Cervical Intervertebral Disc, Lumbar Decompression.
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National Reimbursement Benchmarks
Commercial averages sit well above Medicare for CPT 95806: Blue Cross Blue Shield and BUCA averages are particularly elevated versus Medicare’s mean of $71.4, with BUCA’s mean at $279.5 reflecting a substantial premium relative to the federal baseline. Aetna, Cigna, and UnitedHealth Group means ($106.2, $129.8, and $135.8) occupy mid-range commercial positions, while Blue Cross Blue Shield’s mean of $396.1 marks the highest commercial average.
Dispersion measured by the interquartile range (P75–P25) is widest for Blue Cross Blue Shield at $111 (P75 $429.3 minus P25 $328.2), indicating the greatest variability among payers. UnitedHealth Group ($94.9), Cigna ($104.6), and BUCA ($98.0) show substantial spread as well. Aetna’s IQR is tightest at $82.8, suggesting the most concentrated commercial rates among the listed payers.