CPT 95810: Polysomnography, Full-Night Sleep Study
Medicare pays $469 and commercial payers pay $1373 on average nationally for this procedure.
Polysomnography is a diagnostic sleep study represented by CPT code 95810 that documents continuous, simultaneous monitoring and recording of multiple physiological parameters during sleep for six or more hours with physician review, interpretation, and report; this service is a full-night attended diagnostic polysomnography typically performed in an accredited sleep laboratory or inpatient sleep facility and is used to evaluate complex or prolonged sleep disorders requiring comprehensive data capture.
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 95810 policy alerts
Get alerted when payer policies referencing 95810 are released or updated.
Monitor payer policy activity
National Reimbursement Benchmarks
Across national benchmarks, Medicare's mean rate for CPT 95810 sits near $468.70 while BUCA's average commercial mean is substantially higher at $1,372.80, highlighting a marked gap between public program reimbursement and the BUCA commercial average. Median values differ as well where available, reflecting that commercial arrangements tend to cluster at higher central tendencies than Medicare for this code.
Rate dispersion (P75 minus P25) varies notably by payer: Blue Cross Blue Shield shows one of the widest interquartile spreads at $581.70 (P75 $2,134.90 minus P25 $1,553.20), followed by UnitedHealth Group with a spread of $549.60 (P75 $920.80 minus P25 $297.20). Aetna and Cigna are tighter by comparison, with spreads of $478.40 and $761.10 respectively, indicating more concentrated versus more variable commercial pricing across payers.