CPT code 95801: Sleep study, unattended, limited channels2026 Medicare rate & RVUs

Medicare pays $103.88 for 95801 nationally in the office. Local office rates run $92.45–$138.77.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 95801 covers

This service is an unattended recording of heart rate, oxygen saturation, and respiratory activity, such as airflow or peripheral arterial tone. It is commonly used as a home sleep apnea test when a clinician evaluates suspected obstructive sleep apnea and selects a limited-channel study. The patient wears the recording equipment without a technologist attending the study; a qualified professional reviews and interprets the recorded data.

Select this code for the recorded signals, not simply because testing occurred at home. Distinguish it from related sleep-study codes by the measurements actually captured: this code does not include sleep-time recording or respiratory-effort recording. Documentation should identify the study performed, recorded signals, test data, and interpretation. CMS recognizes separately priced professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier for the global service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 95801 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

95801 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 95801 rate is calculated

Each of 95801’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 95801

The CMS indicators that decide how 95801 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

95801 compared with similar codes

How to choose

95800Home sleep studyUnattended, includes sleep time

Use 95800 when the unattended recording includes sleep-time measurement. Code 95801 covers the limited set of heart-rate, oxygen-saturation, and respiratory signals without that measurement.

95806Sleep studyHeart rate and respiratory signals

Code 95806 includes respiratory-effort recording along with other sleep-study signals. Code 95801 is appropriate when respiratory effort is not among the recorded parameters.

95807Sleep studyTechnologist-attended recording

Code 95807 describes an attended sleep study. Code 95801 is for unattended recording without an attending technologist.

Codes related to 95801

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates