CPT 95807: Attended Polysomnography with Technologist in Attendance

Medicare pays $309 and commercial payers pay $1223 on average nationally for this procedure.

CPT code 95807 describes an attended polysomnography (sleep study) in which a technologist is present while the patient sleeps to record multiple physiologic parameters for diagnosis of sleep disorders; service type: attended diagnostic polysomnography; typical site of service: sleep laboratory or inpatient sleep center.

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 for CPT 95807 sit well above Medicare: BUCA’s mean commercial rate is $1,222.90 versus Medicare’s mean of $308.80, indicating a substantial premium for commercial contracts relative to the national Medicare average. Blue Cross Blue Shield and UnitedHealth Group also show elevated means ($1,843.50 and $442.00 respectively), reinforcing that commercial payers generally reimburse higher than Medicare for this code.

Dispersion (P75 minus P25) highlights where rates are most and least variable. Blue Cross Blue Shield has the widest interquartile spread at $502.40 ($1,998.30 − $1,495.90), signaling high variability across markets. Cigna and UnitedHealth Group have similar wide spreads of $534.90 ($680.60 − $143.70) and $492.60 ($642.50 − $149.90) respectively, while Aetna’s spread is narrower at $345.00 ($428.00 − $83.30), making Aetna the tightest among those with full quartile data.

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CPT 95807: Attended Polysomnography with Technologist in Attendance

Medicare pays $309 and commercial payers pay $1223 on average nationally for this procedure.

For related coverage guidance, see recent payer policy updates: Lumbar Microdiscectomy, Artificial Cervical Intervertebral Disc, Lumbar Decompression.

Customize your policy alerts

Sign up for cpt 95807 policy alerts

Get alerted when payer policies referencing 95807 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

National Reimbursement Benchmarks

National Payer Mean Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

A 52-year-old male with progressive daytime sleepiness, loud snoring, and witnessed apneas is referred by his primary care physician for an attended overnight polysomnography. The technologist is present throughout the study to apply and monitor sensors, record simultaneous measurements (EEG, EOG, EMG, airflow, respiratory effort, ECG, and pulse oximetry), and troubleshoot leads or equipment. The clinical workflow begins with pre-test assessment and documentation of indications (for example, suspected obstructive sleep apnea G47.33), consent, and placement of monitoring sensors in an accredited sleep lab (typical site of service: hospital-based sleep laboratory or freestanding sleep center). The study is performed during the patient’s usual sleep period, with the technologist observing and annotating events, and providing immediate intervention or safety measures if needed. After completion, the technologist removes sensors, the data are processed, and a credentialed sleep medicine physician reviews and interprets the polysomnography report to determine diagnosis and guide management (for example, initiation of 94660 if positive airway pressure therapy is indicated).

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`95806`	Sleep study, unattended, simultaneous recording of heart rate, oxygen saturation, and respiratory airflow	Lower-complexity, unattended home sleep apnea testing alternative to attended polysomnography represented by `95807`.
`95810`	Polysomnography; sleep staging with 4 or more additional parameters of sleep	Higher-complexity attended in-lab study often used for comprehensive diagnostic evaluation; overlaps with services in `95807`.
`95811`	Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation	Used when in-lab polysomnography includes titration and initiation of positive airway pressure therapy following diagnostic recording.
`94660`	Continuous positive airway pressure ventilation (CPAP), initiation and management	Therapy initiation and management procedure following diagnosis from attended polysomnography; may follow `95807` when treatment is indicated.

Related Modifiers

8 rows

Modifier	Description	When to Use
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
23	Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…	- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
51	Modifier –51 (Multiple Procedures) is used when the same provider performs multiple procedures in the same session to identify secondary, non‑exempt procedures and indicate payment reduction logic…	- Use modifier -51 when the same provider performs multiple distinct procedures during the same patient encounter: report the highest‑valued procedure first (no modifier) and append -51 to…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207RS0012X	Sleep Medicine (Internal Medicine) Physician	An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic t…
207R00000X	Internal Medicine Physician	A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults…
2084P0800X	Psychiatry Physician	A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, …
246QI0000X	Immunology Pathology Specialist/Technologist	Technologists, Technicians & Other Technical Service Providers · Specialist/Technologist, Pathology
2279P4000X	Patient Transport Registered Respiratory Therapist	Transport respiratory therapist provide patient assessment, initiation of treatment modalities and continued monitoring of patient status of the criti…
364SX0200X	Oncology Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
103TW0100X	Deactivated - Psychotherapy Women
152WX0102X	Occupational Vision Optometrist	Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision,…

Related Payer Policy Updates

Specialty: Neurology/Neurosurgery1 / 3

10 rows

Policy	Payer	Effective Date
Lumbar Microdiscectomy	univerahealthcare	2026-10-15
Artificial Cervical Intervertebral Disc	univerahealthcare	2026-10-15
Lumbar Decompression	univerahealthcare	2026-10-15
Nerve Fiber Density Testing (IENFD/ENFD) Coverage Criteria	Oscar Health	2026-10-01
Biomarker Testing for Multiple Sclerosis and Related Neurologic Diseases	Oscar Health	2026-10-01
Biochemical Markers of Alzheimer Disease and Dementia	Oscar Health	2026-10-01
Serum Testing For Evidence of Mild Traumatic Brain Injury	Oscar Health	2026-10-01
Evaluation of Cerebrospinal Fluid, Urine and Plasma for Alzheimer Disease	Bluecross Idaho	2026-09-01
Prior Authorization of Spinal Procedures	Blue Cross Blue Shield - Rhode Island	2026-09-01
Alzheimer's Disease - Amyloid Beta- Directed Antibodies - Kisunla	Cigna	2026-08-15

Related Codes

CPT-95705-UNMONITORED-EEG-2-TO-12-HOURS

CPT 95705: Unmonitored Electroencephalography, 2–12 Hours

CPT-95706-EXTENDED-EEG-MONITORING-2-TO-12-HOURS

CPT 95706: EEG, 2–12 Hours, Intermittent Monitoring

CPT-95707-EXTENDED-EEG-MONITORING-2-TO-12-HOURS

CPT 95707: Ambulatory EEG, Continuous Monitoring 2–12 Hours

CPT-95708-UNMONITORED-AMBULATORY-EEG-12-26-HOURS

CPT 95708: Unmonitored EEG, 12–26 Hours

CPT-95709-PROLONGED-AMBULATORY-EEG-12-TO-26-HOURS

CPT 95709: Ambulatory EEG, 12–26 Hours, No Video

CPT-95710-CONTINUOUS-EEG-MONITORING-NO-VIDEO

CPT 95710: Continuous EEG Monitoring, Technologist Technical Review

CPT-95711-UNMONITORED-EEG-2-TO-12-HOUR-VIDEO-TECHNICAL-REVIEW

CPT 95711: Unmonitored EEG with Video, 2–12 Hours

CPT-95712-EXTENDED-VIDEO-EEG-2-12-HOUR-MONITORING

CPT 95712: Intermittent Video EEG Monitoring, 2–12 Hours

CPT-95713-PROLONGED-EEG-WITH-VIDEO-2-TO-12-HOURS

CPT 95713: Video Electroencephalography, 2–12 Hour Continuous Monitoring

CPT-95714-UNMONITORED-EEG-12-TO-26-HOURS-WITH-VIDEO

CPT 95714: Unmonitored EEG With Video, 12–26 Hours

Showing 1–10 of 29

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`95806`	Sleep study, unattended, simultaneous recording of heart rate, oxygen saturation, and respiratory airflow	Lower-complexity, unattended home sleep apnea testing alternative to attended polysomnography represented by `95807`.
`95810`	Polysomnography; sleep staging with 4 or more additional parameters of sleep	Higher-complexity attended in-lab study often used for comprehensive diagnostic evaluation; overlaps with services in `95807`.
`95811`	Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation	Used when in-lab polysomnography includes titration and initiation of positive airway pressure therapy following diagnostic recording.
`94660`	Continuous positive airway pressure ventilation (CPAP), initiation and management	Therapy initiation and management procedure following diagnosis from attended polysomnography; may follow `95807` when treatment is indicated.

Related Modifiers

8 rows

Modifier	Description	When to Use
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
23	Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…	- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
51	Modifier –51 (Multiple Procedures) is used when the same provider performs multiple procedures in the same session to identify secondary, non‑exempt procedures and indicate payment reduction logic…	- Use modifier -51 when the same provider performs multiple distinct procedures during the same patient encounter: report the highest‑valued procedure first (no modifier) and append -51 to…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207RS0012X	Sleep Medicine (Internal Medicine) Physician	An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic t…
207R00000X	Internal Medicine Physician	A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults…
2084P0800X	Psychiatry Physician	A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, …
246QI0000X	Immunology Pathology Specialist/Technologist	Technologists, Technicians & Other Technical Service Providers · Specialist/Technologist, Pathology
2279P4000X	Patient Transport Registered Respiratory Therapist	Transport respiratory therapist provide patient assessment, initiation of treatment modalities and continued monitoring of patient status of the criti…
364SX0200X	Oncology Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
103TW0100X	Deactivated - Psychotherapy Women
152WX0102X	Occupational Vision Optometrist	Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision,…

Related Payer Policy Updates

Specialty: Neurology/Neurosurgery1 / 3

10 rows

Policy	Payer	Effective Date
Lumbar Microdiscectomy	univerahealthcare	2026-10-15
Artificial Cervical Intervertebral Disc	univerahealthcare	2026-10-15
Lumbar Decompression	univerahealthcare	2026-10-15
Nerve Fiber Density Testing (IENFD/ENFD) Coverage Criteria	Oscar Health	2026-10-01
Biomarker Testing for Multiple Sclerosis and Related Neurologic Diseases	Oscar Health	2026-10-01
Biochemical Markers of Alzheimer Disease and Dementia	Oscar Health	2026-10-01
Serum Testing For Evidence of Mild Traumatic Brain Injury	Oscar Health	2026-10-01
Evaluation of Cerebrospinal Fluid, Urine and Plasma for Alzheimer Disease	Bluecross Idaho	2026-09-01
Prior Authorization of Spinal Procedures	Blue Cross Blue Shield - Rhode Island	2026-09-01
Alzheimer's Disease - Amyloid Beta- Directed Antibodies - Kisunla	Cigna	2026-08-15

Related Codes

CPT-95705-UNMONITORED-EEG-2-TO-12-HOURS

CPT 95705: Unmonitored Electroencephalography, 2–12 Hours

CPT-95706-EXTENDED-EEG-MONITORING-2-TO-12-HOURS

CPT 95706: EEG, 2–12 Hours, Intermittent Monitoring

CPT-95707-EXTENDED-EEG-MONITORING-2-TO-12-HOURS

CPT 95707: Ambulatory EEG, Continuous Monitoring 2–12 Hours

CPT-95708-UNMONITORED-AMBULATORY-EEG-12-26-HOURS

CPT 95708: Unmonitored EEG, 12–26 Hours

CPT-95709-PROLONGED-AMBULATORY-EEG-12-TO-26-HOURS

CPT 95709: Ambulatory EEG, 12–26 Hours, No Video

CPT-95710-CONTINUOUS-EEG-MONITORING-NO-VIDEO

CPT 95710: Continuous EEG Monitoring, Technologist Technical Review

CPT-95711-UNMONITORED-EEG-2-TO-12-HOUR-VIDEO-TECHNICAL-REVIEW

CPT 95711: Unmonitored EEG with Video, 2–12 Hours

CPT-95712-EXTENDED-VIDEO-EEG-2-12-HOUR-MONITORING

CPT 95712: Intermittent Video EEG Monitoring, 2–12 Hours

CPT-95713-PROLONGED-EEG-WITH-VIDEO-2-TO-12-HOURS

CPT 95713: Video Electroencephalography, 2–12 Hour Continuous Monitoring

CPT-95714-UNMONITORED-EEG-12-TO-26-HOURS-WITH-VIDEO

CPT 95714: Unmonitored EEG With Video, 12–26 Hours

Showing 1–10 of 29

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

CPT 95807: Attended Polysomnography with Technologist in Attendance

Sign up for cpt 95807 policy alerts

National Reimbursement Benchmarks

CPT 95807: Attended Polysomnography with Technologist in Attendance

Sign up for cpt 95807 policy alerts

National Reimbursement Benchmarks

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

What does CPT 95807 represent and where is this service typically performed?

How does 95807 relate to other CPT codes like 95806, 95810, 95811, and 94660?

What diagnoses or clinical indications are commonly associated with 95807?

What tasks does the technologist perform during an attended polysomnography coded as 95807?

Which payers and sites of service are associated with CPT 95807 according to the page content?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

What does CPT 95807 represent and where is this service typically performed?

How does 95807 relate to other CPT codes like 95806, 95810, 95811, and 94660?

What diagnoses or clinical indications are commonly associated with 95807?

What tasks does the technologist perform during an attended polysomnography coded as 95807?

Which payers and sites of service are associated with CPT 95807 according to the page content?

References