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CPT code 95805: Sleep latency test, daytime nap testing2026 Medicare rate & RVUs in Connecticut

Reports daytime nap testing that measures sleep propensity, commonly used to evaluate persistent excessive sleepiness and suspected narcolepsy after overnight sleep assessment.

CMS RVU26DEffective Oct 1, 2026One payment locality1.8K Medicare services in 2024

In Connecticut, Medicare pays $515.10 for 95805 in the office.

$515.10Office (non-facility)
Not available in this settingHospital or facility
+7.4%vs the national office rate ($479.64)

Check a contract rate as a % of Medicare · 95805 nationwide

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

We’ll open 95805 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 95805 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 95805 covers

A multiple sleep latency test uses repeated, scheduled daytime nap opportunities to assess how readily a patient falls asleep and whether sleep-onset features support a central hypersomnolence disorder such as narcolepsy. A sleep technologist typically conducts the recording in a sleep laboratory, and a qualified interpreting professional reviews the results and prepares the report. The test commonly follows an overnight attended polysomnography as part of an evaluation for persistent excessive daytime sleepiness.

Report 95805 for the daytime test, not for the preceding overnight study or for each nap opportunity separately. The record should support the clinical reason for testing and include the test findings and interpretation. CMS recognizes a professional component, reported with modifier 26, and a technical component, reported with modifier TC; reporting the code without a modifier represents the global service, including both components. CMS separately prices the 26 and TC services.

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.

How Connecticut compares for 95805

Across 109 of 109 payment localities, the office rate for 95805 runs from $415.56 in Arkansas to $673.52 in San Benito County, CA. Connecticut pays $515.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

95805 in Connecticut vs other payment areas
  1. Connecticut · this page$515.10
  2. Los Angeles, CA · California$558.91+$43.81
  3. Washington, DC area · District of Columbia$559.80+$44.70
  4. Miami, FL · Florida$506.15−$8.95
  5. Chicago, IL · Illinois$489.44−$25.66
  6. Manhattan, NY · New York$555.92+$40.82
  7. Alaska · Alaska$524.89+$9.79

Other areas in Connecticut first, then benchmark localities. Bars start at $0.

Every other payment area

95805 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$422.81—
ArkansasArkansas$415.56—
ArizonaArizona$465.34—
Bakersfield, CACalifornia$519.91—
Chico, CACalifornia$519.42—
El Centro, CACalifornia$519.44—
Fresno, CACalifornia$519.42—
Hanford, CACalifornia$519.42—

95805 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$415.56

$596.47

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
95805 office rate range by state
State / territoryOffice rate rangeLocalities
AK$524.891
AL$422.811
AR$415.561
AZ$465.341
CA$519.42–$673.5229
CO$506.691
CT$515.101
DC$559.801
DE$474.041
FL$463.36–$506.153
GA$433.76–$487.852
GU$536.821
HI$536.821
IA$439.251
ID$441.851
IL$445.00–$496.044
IN$444.971
KS$435.071
KY$430.881
LA$429.39–$454.752
MA$502.16–$564.982
MD$484.78–$559.803
ME$442.70–$473.632
MI$442.53–$468.312
MN$488.251
MO$419.48–$458.773
MS$417.711
MT$479.631
NC$448.451
ND$476.261
NE$442.621
NH$496.761
NJ$521.76–$552.072
NM$444.681
NV$479.121
NY$456.21–$569.205
OH$441.851
OK$431.841
OR$476.21–$527.082
PA$443.66–$499.272
PR$484.341
RI$494.121
SC$445.731
SD$475.871
TN$437.431
TX$440.09–$504.298
UT$452.961
VA$470.57–$559.802
VI$484.341
VT$472.481
WA$501.84–$579.272
WI$457.441
WV$425.111
WY$478.161

See 95805 in every payment locality

How the 95805 rate is calculated

Each of 95805’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.

How the rate is built · 95805

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.17

1.17 RVUs× 1.000 GPCI

Practice expense13.02

13.02 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

14.3600

Conversion factor

$33.4009

Medicare rate

$479.64

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,532

Code
95805
Physician work
1.17
Practice expense
13.02
Malpractice
0.17

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 95805 in Connecticut
ComponentRVULocality factorAdjusted
Physician work1.17× 1.0201.1934
Practice expense13.02× 1.07714.0225
Malpractice0.17× 1.2100.2057
Total RVUs15.4216
Conversion factor× 33.4009

Office rate, Connecticut$515.10

Office: (1.17 × 1.02 + 13.02 × 1.077 + 0.17 × 1.21) × $33.4009 = $515.10

Open 95805 in the RVU calculator

Payment rules and modifiers for 95805

The CMS indicators that decide how 95805 is paid alongside other services.

CMS payment indicators · 95805

Sleep latency test, daytime nap testing

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

95805 without 26 · national office

$479.64

Sleep latency test, daytime nap testing

95805-26 · Professional component

$57.78

Pays only the interpretation and report.

When to use modifier 26

Codes related to 95805

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

Codes related to 95805
CodeHow it relatesOffice range, Connecticut
Often billed with
95810Sleep study, age six or older, attendedAttended overnight polysomnography commonly precedes daytime MSLT in an evaluation of excessive sleepiness.$722.08
Used instead
95800Home sleep study, unattended, includes sleep timeUnattended sleep testing is considered for a different evaluation focused on sleep-disordered breathing.$150.85
95806Sleep study, heart rate and respiratory signalsUnattended testing with respiratory effort assesses suspected sleep-disordered breathing, not daytime sleep propensity.$109.69

How 95805 has changed in Connecticut

95805 · Office / nonfacility

$515.10

Effective 2026-10-01

The base rate is $52.72 higher than on 2025-10-01, moving from $462.38 to $515.10 (11.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $462.38changed to$515.10

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.20 changed to 1.17
    • Practice expense RVU 11.79 changed to 13.02
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $468.53changed to$462.38

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 11.60 changed to 11.79
    • Malpractice RVU 0.16 changed to 0.17

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $460.88changed to$468.53

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $463.33changed to$460.88

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 11.14 changed to 11.60
    • Malpractice RVU 0.15 changed to 0.16
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $471.65changed to$463.33

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 11.00 changed to 11.14
    • Malpractice RVU 0.14 changed to 0.15
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $474.07changed to$471.65

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.97 changed to 11.00
    • Malpractice RVU 0.13 changed to 0.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $466.63changed to$474.07

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 10.37 changed to 10.97
    • Malpractice RVU 0.14 changed to 0.13
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $472.38changed to$466.63

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 10.55 changed to 10.37
    • Malpractice RVU 0.12 changed to 0.14
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $486.67changed to$472.38

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 10.92 changed to 10.55

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $481.16changed to$486.67

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.77 changed to 10.92
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $481.56changed to$481.16

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $472.34changed to$481.56

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.52 changed to 10.77
    • Malpractice RVU 0.10 changed to 0.12

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $469.99changed to$472.34

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $468.53changed to$469.99

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 10.53 changed to 10.52
    • Malpractice RVU 0.08 changed to 0.10
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $473.43changed to$468.53

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 11.34 changed to 10.53
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $473.43

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$515.10Not available in this settingRVU26D
2026-07-01$515.10Not available in this settingRVU26C
2026-04-01$515.10Not available in this settingRVU26B
2026-01-01$515.10Not available in this settingRVU26A
2025-10-01$462.38Not available in this settingRVU25D
2025-07-01$462.38Not available in this settingRVU25C
2025-04-01$462.38Not available in this settingRVU25B
2025-01-01$462.38Not available in this settingRVU25A
2024-10-01$468.53Not available in this settingRVU24D
2024-07-01$468.53Not available in this settingRVU24C
2024-04-01$468.53Not available in this settingRVU24B
2024-03-09$468.53Not available in this settingRVU24AR
2024-01-01$460.88Not available in this settingRVU24A
2023-10-01$463.33Not available in this settingRVU23D
2023-07-01$463.33Not available in this settingRVU23C
2023-04-01$463.33Not available in this settingRVU23B
2023-01-01$463.33Not available in this settingRVU23A
2022-10-01$471.65Not available in this settingRVU22D
2022-07-01$471.65Not available in this settingRVU22C
2022-04-01$471.65Not available in this settingRVU22B
2022-01-01$471.65Not available in this settingRVU22A
2021-10-01$474.07Not available in this settingRVU21D
2021-07-01$474.07Not available in this settingRVU21C
2021-04-01$474.07Not available in this settingRVU21B
2021-01-01$474.07Not available in this settingRVU21A
2020-10-01$466.63Not available in this settingRVU20D
2020-07-01$466.63Not available in this settingRVU20C
2020-04-01$466.63Not available in this settingRVU20B
2020-01-01$466.63Not available in this settingRVU20A
2019-10-01$472.38Not available in this settingRVU19D
2019-07-01$472.38Not available in this settingRVU19C
2019-04-01$472.38Not available in this settingRVU19B
2019-01-01$472.38Not available in this settingRVU19A
2018-10-01$486.67Not available in this settingRVU18D
2018-07-01$486.67Not available in this settingRVU18C
2018-04-01$486.67Not available in this settingRVU18B
2018-01-01$486.67Not available in this settingRVU18AR1
2017-10-01$481.16Not available in this settingRVU17D
2017-07-01$481.16Not available in this settingRVU17C
2017-04-01$481.16Not available in this settingRVU17B
2017-01-01$481.16Not available in this settingRVU17A
2016-10-01$481.56Not available in this settingRVU16D
2016-07-01$481.56Not available in this settingRVU16C
2016-04-01$481.56Not available in this settingRVU16B
2016-01-01$481.56Not available in this settingRVU16A
2015-10-01$472.34Not available in this settingRVU15D
2015-07-01$472.34Not available in this settingRVU15C
2015-04-01$469.99Not available in this settingRVU15B
2015-01-01$469.99Not available in this settingRVU15A
2014-10-01$468.53Not available in this settingRVU14D
2014-07-01$468.53Not available in this settingRVU14C
2014-04-01$468.53Not available in this settingRVU14B
2014-01-01$468.53Not available in this settingRVU14A
2013-10-01$473.43Not available in this settingRVU13D
2013-07-01$473.43Not available in this settingRVU13C
2013-04-01$473.43Not available in this settingRVU13B
2013-01-01$473.43Not available in this settingRVU13AR

Price 95805 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

95805 billing questions

When is 95805 appropriate instead of an overnight sleep study?

Use 95805 for daytime nap testing of sleep propensity, often when evaluating persistent excessive sleepiness or suspected narcolepsy. An overnight polysomnography evaluates sleep during the night and may precede the MSLT.

Can the preceding polysomnography also be reported?

The overnight study and the daytime MSLT are distinct services. When both are performed, report the appropriate code for each documented test.

How are the professional and technical components reported?

Report modifier 26 for the professional interpretation and modifier TC for the technical service. Without either modifier, 95805 represents the global service.

Should a unit be reported for each nap opportunity?

No. Report the MSLT as the test service rather than billing each scheduled nap opportunity as a separate unit.

What documentation supports 95805?

Document the clinical indication for daytime sleepiness testing, the nap-test findings, and the interpreting professional's report. The record should distinguish the daytime MSLT from any overnight sleep study.

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

Show the CMS file lines behind this rate
RVUs for 95805PPRRVU2026_Oct_nonQPP.csv, line 12,532 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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