CPT code 95805: Sleep latency test, daytime nap testing2026 Medicare rate & RVUs in Hawaii, Guam, HI
Reports daytime nap testing that measures sleep propensity, commonly used to evaluate persistent excessive sleepiness and suspected narcolepsy after overnight sleep assessment.
In Hawaii, Guam, HI, Medicare pays $536.82 for 95805 in the office.
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.
On this page 11 sections
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 Hawaii, Guam, HI 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. Hawaii, Guam, HI pays $536.82. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Hawaii, Guam, HI · this page$536.82
- Los Angeles, CA · California$558.91+$22.09
- Washington, DC area · District of Columbia$559.80+$22.98
- Miami, FL · Florida$506.15−$30.67
- Chicago, IL · Illinois$489.44−$47.38
- Manhattan, NY · New York$555.92+$19.10
- Alaska · Alaska$524.89−$11.93
Other areas in Hawaii first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $519.42 | — |
| Merced, CACalifornia | $519.42 | — |
| Modesto, CACalifornia | $519.42 | — |
| Napa, CACalifornia | $617.60 | — |
| Oxnard, CACalifornia | $557.74 | — |
| Redding, CACalifornia | $519.42 | — |
| Rest of CaliforniaCalifornia | $519.42 | — |
| Riverside, CACalifornia | $521.25 | — |
| Sacramento, CACalifornia | $549.29 | — |
| Salinas, CACalifornia | $547.36 | — |
| San Diego, CACalifornia | $563.45 | — |
| Marin County, CACalifornia | $658.58 | — |
| San Francisco, CACalifornia | $658.39 | — |
| San Benito County, CACalifornia | $673.52 | — |
| Santa Clara County, CACalifornia | $672.73 | — |
| San Luis Obispo, CACalifornia | $538.11 | — |
| Santa Cruz, CACalifornia | $571.32 | — |
| Santa Maria, CACalifornia | $550.29 | — |
| Santa Rosa, CACalifornia | $577.33 | — |
| Stockton, CACalifornia | $519.42 | — |
| Vallejo, CACalifornia | $617.32 | — |
| Visalia, CACalifornia | $519.42 | — |
| Yuba City, CACalifornia | $519.42 | — |
| ColoradoColorado | $506.69 | — |
| ConnecticutConnecticut | $515.10 | — |
| DelawareDelaware | $474.04 | — |
| Fort Lauderdale, FLFlorida | $489.88 | — |
| Rest of FloridaFlorida | $463.36 | — |
| Atlanta, GAGeorgia | $487.85 | — |
| Rest of GeorgiaGeorgia | $433.76 | — |
| IowaIowa | $439.25 | — |
| IdahoIdaho | $441.85 | — |
| East St. Louis, ILIllinois | $450.60 | — |
| Rest of IllinoisIllinois | $445.00 | — |
| Suburban Chicago, ILIllinois | $496.04 | — |
| IndianaIndiana | $444.97 | — |
| KansasKansas | $435.07 | — |
| KentuckyKentucky | $430.88 | — |
| New Orleans, LALouisiana | $454.75 | — |
| Rest of LouisianaLouisiana | $429.39 | — |
| Metropolitan Boston, MAMassachusetts | $564.98 | — |
| Rest of MassachusettsMassachusetts | $502.16 | — |
| Baltimore area, MDMaryland | $513.35 | — |
| Rest of MarylandMaryland | $484.78 | — |
| Rest of MaineMaine | $442.70 | — |
| Southern Maine, MEMaine | $473.63 | — |
| Detroit, MIMichigan | $468.31 | — |
| Rest of MichiganMichigan | $442.53 | — |
| MinnesotaMinnesota | $488.25 | — |
| Metropolitan Kansas City, MOMissouri | $452.98 | — |
| Metropolitan St. Louis, MOMissouri | $458.77 | — |
| Rest of MissouriMissouri | $419.48 | — |
| MississippiMississippi | $417.71 | — |
| MontanaMontana | $479.63 | — |
| North CarolinaNorth Carolina | $448.45 | — |
| North DakotaNorth Dakota | $476.26 | — |
| NebraskaNebraska | $442.62 | — |
| New HampshireNew Hampshire | $496.76 | — |
| Northern New JerseyNew Jersey | $552.07 | — |
| Rest of New JerseyNew Jersey | $521.76 | — |
| New MexicoNew Mexico | $444.68 | — |
| NevadaNevada | $479.12 | — |
| NYC suburbs and Long Island, NYNew York | $569.20 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $523.90 | — |
| Queens, NYNew York | $563.80 | — |
| Rest of New YorkNew York | $456.21 | — |
| OhioOhio | $441.85 | — |
| OklahomaOklahoma | $431.84 | — |
| Portland, OROregon | $527.08 | — |
| Rest of OregonOregon | $476.21 | — |
| Metropolitan Philadelphia, PAPennsylvania | $499.27 | — |
| Rest of PennsylvaniaPennsylvania | $443.66 | — |
| Puerto RicoPuerto Rico | $484.34 | — |
| Rhode IslandRhode Island | $494.12 | — |
| South CarolinaSouth Carolina | $445.73 | — |
| South DakotaSouth Dakota | $475.87 | — |
| TennesseeTennessee | $437.43 | — |
| Austin, TXTexas | $504.29 | — |
| Beaumont, TXTexas | $440.09 | — |
| Brazoria, TXTexas | $474.79 | — |
| Dallas, TXTexas | $477.44 | — |
| Fort Worth, TXTexas | $473.17 | — |
| Galveston, TXTexas | $475.93 | — |
| Houston, TXTexas | $479.04 | — |
| Rest of TexasTexas | $456.91 | — |
| UtahUtah | $452.96 | — |
| VirginiaVirginia | $470.57 | — |
| Virgin Islands, VIUnited States Virgin Islands | $484.34 | — |
| VermontVermont | $472.48 | — |
| Rest of WashingtonWashington | $501.84 | — |
| King County, WAWashington | $579.27 | — |
| WisconsinWisconsin | $457.44 | — |
| West VirginiaWest Virginia | $425.11 | — |
| WyomingWyoming | $478.16 | — |
95805 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $524.89 | 1 |
| AL | $422.81 | 1 |
| AR | $415.56 | 1 |
| AZ | $465.34 | 1 |
| CA | $519.42–$673.52 | 29 |
| CO | $506.69 | 1 |
| CT | $515.10 | 1 |
| DC | $559.80 | 1 |
| DE | $474.04 | 1 |
| FL | $463.36–$506.15 | 3 |
| GA | $433.76–$487.85 | 2 |
| GU | $536.82 | 1 |
| HI | $536.82 | 1 |
| IA | $439.25 | 1 |
| ID | $441.85 | 1 |
| IL | $445.00–$496.04 | 4 |
| IN | $444.97 | 1 |
| KS | $435.07 | 1 |
| KY | $430.88 | 1 |
| LA | $429.39–$454.75 | 2 |
| MA | $502.16–$564.98 | 2 |
| MD | $484.78–$559.80 | 3 |
| ME | $442.70–$473.63 | 2 |
| MI | $442.53–$468.31 | 2 |
| MN | $488.25 | 1 |
| MO | $419.48–$458.77 | 3 |
| MS | $417.71 | 1 |
| MT | $479.63 | 1 |
| NC | $448.45 | 1 |
| ND | $476.26 | 1 |
| NE | $442.62 | 1 |
| NH | $496.76 | 1 |
| NJ | $521.76–$552.07 | 2 |
| NM | $444.68 | 1 |
| NV | $479.12 | 1 |
| NY | $456.21–$569.20 | 5 |
| OH | $441.85 | 1 |
| OK | $431.84 | 1 |
| OR | $476.21–$527.08 | 2 |
| PA | $443.66–$499.27 | 2 |
| PR | $484.34 | 1 |
| RI | $494.12 | 1 |
| SC | $445.73 | 1 |
| SD | $475.87 | 1 |
| TN | $437.43 | 1 |
| TX | $440.09–$504.29 | 8 |
| UT | $452.96 | 1 |
| VA | $470.57–$559.80 | 2 |
| VI | $484.34 | 1 |
| VT | $472.48 | 1 |
| WA | $501.84–$579.27 | 2 |
| WI | $457.44 | 1 |
| WV | $425.11 | 1 |
| WY | $478.16 | 1 |
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
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 Hawaii, Guam, HI 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
46
- Locality
- Hawaii, Guam, HI
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.17 | × 1.000 | 1.1700 |
| Practice expense | 13.02 | × 1.137 | 14.8037 |
| Malpractice | 0.17 | × 0.579 | 0.0984 |
| Total RVUs | 16.0722 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Hawaii, Guam, HI$536.82
Office: (1.17 × 1 + 13.02 × 1.137 + 0.17 × 0.579) × $33.4009 = $536.82
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic 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.
How 95805 has changed in Hawaii, Guam, HI
95805 · Office / nonfacility
$536.82
Effective 2026-10-01
The base rate is $56.73 higher than on 2025-10-01, moving from $480.09 to $536.82 (11.8%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$480.09changed to$536.82
- 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
- Practice expense GPCI 1.149 changed to 1.137
- Malpractice GPCI 0.561 changed to 0.579
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$486.60changed to$480.09
- 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.
March 9, 2024
RVU24AR
$478.66changed to$486.60
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$476.55changed to$478.66
- 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 1.003 changed to 1.000
- Practice expense GPCI 1.146 changed to 1.149
- Malpractice GPCI 0.618 changed to 0.561
January 1, 2023
RVU23A
$480.32changed to$476.55
- 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 1.010 changed to 1.003
- Practice expense GPCI 1.143 changed to 1.146
- Malpractice GPCI 0.675 changed to 0.618
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$482.87changed to$480.32
- 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.
January 1, 2021
RVU21A
$474.96changed to$482.87
- 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 1.006 changed to 1.010
- Practice expense GPCI 1.144 changed to 1.143
- Malpractice GPCI 0.644 changed to 0.675
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$481.67changed to$474.96
- 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 1.001 changed to 1.006
- Practice expense GPCI 1.146 changed to 1.144
- Malpractice GPCI 0.614 changed to 0.644
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$496.41changed to$481.67
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 10.92 changed to 10.55
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$491.85changed to$496.41
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 10.77 changed to 10.92
- Work GPCI 1.002 changed to 1.001
- Practice expense GPCI 1.154 changed to 1.146
- Malpractice GPCI 0.616 changed to 0.614
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$493.83changed to$491.85
- Conversion factor 35.8043 changed to 35.8887
- Work GPCI 1.003 changed to 1.002
- Practice expense GPCI 1.162 changed to 1.154
- Malpractice GPCI 0.618 changed to 0.616
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$484.73changed to$493.83
- 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.
July 1, 2015
RVU15C
$482.32changed to$484.73
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$481.78changed to$482.32
- 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
- Work GPCI 1.002 changed to 1.003
- Practice expense GPCI 1.158 changed to 1.162
- Malpractice GPCI 0.659 changed to 0.618
Held through RVU15B.
January 1, 2014
RVU14A
$487.97changed to$481.78
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 11.34 changed to 10.53
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 1.154 changed to 1.158
- Malpractice GPCI 0.700 changed to 0.659
Held through RVU14B, RVU14C, RVU14D.
October 1, 2013
RVU13D
No ratechanged to$487.97
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $536.82 | Not available in this setting | RVU26D |
| 2026-07-01 | $536.82 | Not available in this setting | RVU26C |
| 2026-04-01 | $536.82 | Not available in this setting | RVU26B |
| 2026-01-01 | $536.82 | Not available in this setting | RVU26A |
| 2025-10-01 | $480.09 | Not available in this setting | RVU25D |
| 2025-07-01 | $480.09 | Not available in this setting | RVU25C |
| 2025-04-01 | $480.09 | Not available in this setting | RVU25B |
| 2025-01-01 | $480.09 | Not available in this setting | RVU25A |
| 2024-10-01 | $486.60 | Not available in this setting | RVU24D |
| 2024-07-01 | $486.60 | Not available in this setting | RVU24C |
| 2024-04-01 | $486.60 | Not available in this setting | RVU24B |
| 2024-03-09 | $486.60 | Not available in this setting | RVU24AR |
| 2024-01-01 | $478.66 | Not available in this setting | RVU24A |
| 2023-10-01 | $476.55 | Not available in this setting | RVU23D |
| 2023-07-01 | $476.55 | Not available in this setting | RVU23C |
| 2023-04-01 | $476.55 | Not available in this setting | RVU23B |
| 2023-01-01 | $476.55 | Not available in this setting | RVU23A |
| 2022-10-01 | $480.32 | Not available in this setting | RVU22D |
| 2022-07-01 | $480.32 | Not available in this setting | RVU22C |
| 2022-04-01 | $480.32 | Not available in this setting | RVU22B |
| 2022-01-01 | $480.32 | Not available in this setting | RVU22A |
| 2021-10-01 | $482.87 | Not available in this setting | RVU21D |
| 2021-07-01 | $482.87 | Not available in this setting | RVU21C |
| 2021-04-01 | $482.87 | Not available in this setting | RVU21B |
| 2021-01-01 | $482.87 | Not available in this setting | RVU21A |
| 2020-10-01 | $474.96 | Not available in this setting | RVU20D |
| 2020-07-01 | $474.96 | Not available in this setting | RVU20C |
| 2020-04-01 | $474.96 | Not available in this setting | RVU20B |
| 2020-01-01 | $474.96 | Not available in this setting | RVU20A |
| 2019-10-01 | $481.67 | Not available in this setting | RVU19D |
| 2019-07-01 | $481.67 | Not available in this setting | RVU19C |
| 2019-04-01 | $481.67 | Not available in this setting | RVU19B |
| 2019-01-01 | $481.67 | Not available in this setting | RVU19A |
| 2018-10-01 | $496.41 | Not available in this setting | RVU18D |
| 2018-07-01 | $496.41 | Not available in this setting | RVU18C |
| 2018-04-01 | $496.41 | Not available in this setting | RVU18B |
| 2018-01-01 | $496.41 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $491.85 | Not available in this setting | RVU17D |
| 2017-07-01 | $491.85 | Not available in this setting | RVU17C |
| 2017-04-01 | $491.85 | Not available in this setting | RVU17B |
| 2017-01-01 | $491.85 | Not available in this setting | RVU17A |
| 2016-10-01 | $493.83 | Not available in this setting | RVU16D |
| 2016-07-01 | $493.83 | Not available in this setting | RVU16C |
| 2016-04-01 | $493.83 | Not available in this setting | RVU16B |
| 2016-01-01 | $493.83 | Not available in this setting | RVU16A |
| 2015-10-01 | $484.73 | Not available in this setting | RVU15D |
| 2015-07-01 | $484.73 | Not available in this setting | RVU15C |
| 2015-04-01 | $482.32 | Not available in this setting | RVU15B |
| 2015-01-01 | $482.32 | Not available in this setting | RVU15A |
| 2014-10-01 | $481.78 | Not available in this setting | RVU14D |
| 2014-07-01 | $481.78 | Not available in this setting | RVU14C |
| 2014-04-01 | $481.78 | Not available in this setting | RVU14B |
| 2014-01-01 | $481.78 | Not available in this setting | RVU14A |
| 2013-10-01 | $487.97 | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Hawaii, Guam, HI rate applies
Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.
- Ahuimanu
- Aiea
- Ainaloa
- Anahola
- Black Sands
- Captain Cook
- Discovery Harbour
- East Honolulu
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
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