Average Medicaid Sleep Study (Polysomnography) Payments
Typical Medicaid Sleep Study (Polysomnography) reimbursement across 1,304 cities
Avg. Medicaid Paid
$323.45
Price Range
$0.00 – $2,908
Total Claims
2.3M
Cities
1304
Typical Payment Range
Typical Medicaid Sleep Study (Polysomnography) payments fall between $70.98 and $347.07 per claim (median: $132.40). The top 10% of payments exceed $577.20.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
A sleep study monitors brain activity, eye movement, heart rate, breathing, and oxygen levels during sleep to diagnose sleep disorders like sleep apnea.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Great Falls, MT | $355.63 | $116.86 – $391.72 | 6,151 | 3 |
| San Antonio, TX | $242.34 | $91.51 – $1,953 | 5,950 | 11 |
| Roanoke, VA | $398.74 | $34.15 – $577.59 | 5,942 | 6 |
| Glendale, AZ | $398.26 | $159.40 – $649.62 | 5,821 | 5 |
| Little Rock, AR | $261.31 | $71.69 – $1,256 | 5,748 | 7 |
| Cedar Rapids, IA | $285.51 | $285.51 – $285.51 | 5,640 | 1 |
| Tulsa, OK | $168.65 | $97.68 – $314.65 | 5,587 | 10 |
| Lansing, MI | $363.89 | $56.88 – $483.34 | 5,541 | 7 |
| Elizabeth, NJ | $345.72 | $63.14 – $888.84 | 5,475 | 3 |
| Royal Oak, MI | $176.98 | $120.89 – $177.62 | 5,469 | 2 |
| Encino, CA | $288.27 | $44.16 – $414.36 | 5,465 | 4 |
| Meriden, CT | $417.92 | $76.98 – $738.79 | 5,377 | 2 |
| Ashland, KY | $376.02 | $87.72 – $540.22 | 5,335 | 5 |
| San Jose, CA | $38.07 | $0.00 – $57.48 | 5,196 | 10 |
| Goodyear, AZ | $423.43 | $370.54 – $463.71 | 5,194 | 3 |
| Shawnee, KS | $1,090 | $1,090 – $1,090 | 5,175 | 1 |
| Akron, OH | $569.64 | $56.39 – $1,101 | 5,145 | 7 |
| Fort Wayne, IN | $43.97 | $31.46 – $100.97 | 5,132 | 6 |
| Charlottesville, VA | $596.41 | $30.26 – $816.47 | 5,101 | 9 |
| Vancouver, WA | $112.64 | $79.54 – $500.98 | 5,089 | 6 |
| Oklahoma City, OK | $162.88 | $36.42 – $435.08 | 5,057 | 15 |
| Somerset, KY | $221.39 | $97.08 – $433.22 | 5,021 | 4 |
| Rancho Cucamonga, CA | $241.30 | $141.36 – $513.28 | 4,926 | 5 |
| Newark, NJ | $1,514 | $51.91 – $2,670 | 4,905 | 8 |
| Bowling Green, KY | $258.07 | $98.20 – $601.88 | 4,891 | 5 |
| San Bernardino, CA | $316.34 | $0.00 – $360.14 | 4,878 | 3 |
| Derby, CT | $487.36 | $83.66 – $761.47 | 4,820 | 3 |
| Omaha, NE | $275.32 | $68.61 – $1,638 | 4,817 | 18 |
| Las Cruces, NM | $332.65 | $171.54 – $533.76 | 4,813 | 4 |
| Gilbert, AZ | $442.94 | $75.35 – $558.87 | 4,791 | 6 |
| Morristown, NJ | $444.90 | $113.24 – $448.24 | 4,708 | 2 |
| Rio Rancho, NM | $231.07 | $52.95 – $722.86 | 4,663 | 5 |
| Corona, CA | $271.04 | $66.16 – $667.43 | 4,648 | 4 |
| Orlando, FL | $590.37 | $70.09 – $925.24 | 4,647 | 6 |
| Burlington, MA | $222.59 | $44.86 – $899.12 | 4,552 | 4 |
| Syracuse, NY | $374.14 | $35.79 – $697.49 | 4,536 | 9 |
| Tupelo, MS | $349.82 | $25.60 – $361.71 | 4,507 | 5 |
| Greenville, NC | $430.62 | $68.72 – $608.82 | 4,428 | 7 |
| Lincoln, RI | $54.91 | $54.91 – $54.91 | 4,406 | 1 |
| Muncie, IN | $851.21 | $851.21 – $851.21 | 4,404 | 1 |
| Hackensack, NJ | $401.02 | $42.19 – $1,029 | 4,382 | 4 |
| Scottsdale, AZ | $301.49 | $38.86 – $443.75 | 4,361 | 7 |
| Youngstown, OH | $279.22 | $55.14 – $576.71 | 4,352 | 4 |
| Monroe, LA | $347.83 | $104.57 – $359.22 | 4,333 | 3 |
| Morgantown, WV | $241.35 | $55.55 – $523.11 | 4,322 | 3 |
| New Hyde Park, NY | $495.14 | $42.82 – $714.11 | 4,310 | 7 |
| Muskegon, MI | $134.60 | $46.95 – $271.83 | 4,292 | 3 |
| North Dartmouth, MA | $82.12 | $82.12 – $82.12 | 4,273 | 1 |
| Rockville Centre, NY | $281.00 | $67.17 – $355.26 | 4,271 | 2 |
| Charlotte, NC | $198.95 | $38.32 – $762.16 | 4,267 | 11 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 95810 | Polysomnography 6+ hrs | $398.06 | 1,314,196 | 2,740 |
| 95811 | Polysomnography w/CPAP 6+ hrs | $339.75 | 529,598 | 1,666 |
| 95806 | Sleep study unattend cardio | $126.67 | 372,072 | 1,267 |
| 95800 | Sleep study unattended | $195.65 | 162,979 | 564 |
| 95801 | Sleep study unattend w/PAP | $137.59 | 5,008 | 6 |
| 95807 | Sleep study attended | $268.70 | 4,098 | 18 |
| 95808 | Polysomnography attended | $544.05 | 944 | 6 |
| 95805 | Multi sleep latency test | $217.86 | 533 | 13 |
| 95803 | Actigraphy testing | — | — | — |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.