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CPT code 95807: Sleep study, technologist-attended recording2026 Medicare rate & RVUs in Iowa

An attended cardiorespiratory sleep study records breathing, respiratory effort, heart activity, and oxygen saturation to assess sleep-related breathing disorders.

CMS RVU26DEffective Oct 1, 2026One payment locality1K Medicare services in 2024

In Iowa, Medicare pays $406.47 for 95807 in the office.

$406.47Office (non-facility)
Not available in this settingHospital or facility
−8.4%vs the national office rate ($443.56)

Check a contract rate as a % of Medicare · 95807 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 95807 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 95807 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 95807 covers

This study records cardiorespiratory signals during sleep while a technologist attends the patient. It is commonly performed in a sleep laboratory or hospital for evaluation of suspected sleep-disordered breathing, including obstructive sleep apnea. The recorded signals focus on ventilation, respiratory effort, heart rate or ECG, and oxygen saturation rather than EEG-based sleep staging. A qualified clinician reviews the recorded data and prepares the interpretation.

Select this code when the service performed is an attended cardiorespiratory sleep study, rather than an unattended home study or polysomnography with sleep staging. Documentation should identify the attended setting, the signals recorded, the clinical indication, and the interpreting report. CMS recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, and modifier TC identifies equipment and staff. Reporting without either modifier represents the global service, including both components.

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 Iowa compares for 95807

Across 109 of 109 payment localities, the office rate for 95807 runs from $384.96 in Arkansas to $620.61 in San Benito County, CA. Iowa pays $406.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

95807 in Iowa vs other payment areas
  1. Iowa · this page$406.47
  2. Los Angeles, CA · California$515.86+$109.39
  3. Washington, DC area · District of Columbia$516.97+$110.50
  4. Miami, FL · Florida$468.49+$62.02
  5. Chicago, IL · Illinois$453.19+$46.72
  6. Manhattan, NY · New York$513.74+$107.27
  7. Alaska · Alaska$487.64+$81.17

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

Every other payment area

95807 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$391.58—
ArkansasArkansas$384.96—
ArizonaArizona$430.47—
Bakersfield, CACalifornia$480.17—
Chico, CACalifornia$479.67—
El Centro, CACalifornia$479.70—
Fresno, CACalifornia$479.67—
Hanford, CACalifornia$479.67—

95807 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.

$384.96

$550.14

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

View every state and territory as a table
95807 office rate range by state
State / territoryOffice rate rangeLocalities
AK$487.641
AL$391.581
AR$384.961
AZ$430.471
CA$479.67–$620.6129
CO$468.171
CT$476.091
DC$516.971
DE$438.451
FL$428.99–$468.493
GA$401.87–$451.172
GU$495.441
HI$495.441
IA$406.471
ID$408.881
IL$412.30–$458.944
IN$411.731
KS$402.721
KY$399.111
LA$397.77–$420.962
MA$464.07–$521.502
MD$448.27–$516.973
ME$409.73–$437.902
MI$409.83–$433.592
MN$451.051
MO$388.75–$424.563
MS$387.021
MT$443.551
NC$414.971
ND$440.191
NE$409.531
NH$459.101
NJ$482.23–$509.962
NM$411.831
NV$443.011
NY$422.07–$525.975
OH$409.151
OK$399.911
OR$440.29–$486.752
PA$410.77–$461.652
PR$447.841
RI$456.821
SC$412.611
SD$439.791
TN$404.891
TX$407.51–$465.988
UT$419.221
VA$435.16–$516.972
VI$447.841
VT$436.801
WA$463.74–$534.532
WI$423.001
WV$394.121
WY$442.091

See 95807 in every payment locality

How the 95807 rate is calculated

Each of 95807’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 · 95807

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.25

1.25 RVUs× 1.000 GPCI

Practice expense11.86

11.86 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

13.2800

Conversion factor

$33.4009

Medicare rate

$443.56

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

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,538

Code
95807
Physician work
1.25
Practice expense
11.86
Malpractice
0.17

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 95807 in Iowa
ComponentRVULocality factorAdjusted
Physician work1.25× 1.0001.2500
Practice expense11.86× 0.91510.8519
Malpractice0.17× 0.3970.0675
Total RVUs12.1694
Conversion factor× 33.4009

Office rate, Iowa$406.47

Office: (1.25 × 1 + 11.86 × 0.915 + 0.17 × 0.397) × $33.4009 = $406.47

Open 95807 in the RVU calculator

Payment rules and modifiers for 95807

The CMS indicators that decide how 95807 is paid alongside other services.

CMS payment indicators · 95807

Sleep study, technologist-attended recording

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

95807 without 26 · national office

$443.56

Sleep study, technologist-attended recording

95807-26 · Professional component

$59.45

Pays only the interpretation and report.

When to use modifier 26

Codes related to 95807

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

Codes related to 95807
CodeHow it relatesOffice range, Iowa
Used instead
95806Sleep study, heart rate and respiratory signalsUnattended cardiorespiratory sleep testing for a similar diagnostic need.$95.98
95808Polysomnography, sleep staging, 1–3 parametersPolysomnography with sleep staging and a lower parameter count.$470.18
95810Sleep study, age six or older, attendedAttended polysomnography with sleep staging and broader recording parameters.$618.86
95811Sleep study, PAP titration, age 6+Attended polysomnography with PAP titration when that service is performed.$649.97

How 95807 has changed in Iowa

95807 · Office / nonfacility

$406.47

Effective 2026-10-01

The base rate is $38.44 higher than on 2025-10-01, moving from $368.03 to $406.47 (10.4%).

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

    $368.03changed to$406.47

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.28 changed to 1.25
    • Practice expense RVU 10.98 changed to 11.86
    • Malpractice RVU 0.16 changed to 0.17
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $375.09changed to$368.03

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.86 changed to 10.98

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $368.97changed to$375.09

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $357.85changed to$368.97

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.13 changed to 10.86
    • Malpractice RVU 0.14 changed to 0.16
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $353.64changed to$357.85

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.79 changed to 10.13
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $370.82changed to$353.64

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.24 changed to 9.79

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $377.96changed to$370.82

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 10.07 changed to 10.24
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $399.18changed to$377.96

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 10.74 changed to 10.07
    • Malpractice RVU 0.13 changed to 0.14
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $428.12changed to$399.18

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 11.64 changed to 10.74

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $427.79changed to$428.12

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 11.73 changed to 11.64
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $436.94changed to$427.79

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 12.12 changed to 11.73
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $428.33changed to$436.94

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 11.82 changed to 12.12
    • Malpractice RVU 0.10 changed to 0.13

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $426.20changed to$428.33

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $427.70changed to$426.20

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 11.87 changed to 11.82
    • Malpractice RVU 0.15 changed to 0.10
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $446.04changed to$427.70

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 13.26 changed to 11.87
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $446.04

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$406.47Not available in this settingRVU26D
2026-07-01$406.47Not available in this settingRVU26C
2026-04-01$406.47Not available in this settingRVU26B
2026-01-01$406.47Not available in this settingRVU26A
2025-10-01$368.03Not available in this settingRVU25D
2025-07-01$368.03Not available in this settingRVU25C
2025-04-01$368.03Not available in this settingRVU25B
2025-01-01$368.03Not available in this settingRVU25A
2024-10-01$375.09Not available in this settingRVU24D
2024-07-01$375.09Not available in this settingRVU24C
2024-04-01$375.09Not available in this settingRVU24B
2024-03-09$375.09Not available in this settingRVU24AR
2024-01-01$368.97Not available in this settingRVU24A
2023-10-01$357.85Not available in this settingRVU23D
2023-07-01$357.85Not available in this settingRVU23C
2023-04-01$357.85Not available in this settingRVU23B
2023-01-01$357.85Not available in this settingRVU23A
2022-10-01$353.64Not available in this settingRVU22D
2022-07-01$353.64Not available in this settingRVU22C
2022-04-01$353.64Not available in this settingRVU22B
2022-01-01$353.64Not available in this settingRVU22A
2021-10-01$370.82Not available in this settingRVU21D
2021-07-01$370.82Not available in this settingRVU21C
2021-04-01$370.82Not available in this settingRVU21B
2021-01-01$370.82Not available in this settingRVU21A
2020-10-01$377.96Not available in this settingRVU20D
2020-07-01$377.96Not available in this settingRVU20C
2020-04-01$377.96Not available in this settingRVU20B
2020-01-01$377.96Not available in this settingRVU20A
2019-10-01$399.18Not available in this settingRVU19D
2019-07-01$399.18Not available in this settingRVU19C
2019-04-01$399.18Not available in this settingRVU19B
2019-01-01$399.18Not available in this settingRVU19A
2018-10-01$428.12Not available in this settingRVU18D
2018-07-01$428.12Not available in this settingRVU18C
2018-04-01$428.12Not available in this settingRVU18B
2018-01-01$428.12Not available in this settingRVU18AR1
2017-10-01$427.79Not available in this settingRVU17D
2017-07-01$427.79Not available in this settingRVU17C
2017-04-01$427.79Not available in this settingRVU17B
2017-01-01$427.79Not available in this settingRVU17A
2016-10-01$436.94Not available in this settingRVU16D
2016-07-01$436.94Not available in this settingRVU16C
2016-04-01$436.94Not available in this settingRVU16B
2016-01-01$436.94Not available in this settingRVU16A
2015-10-01$428.33Not available in this settingRVU15D
2015-07-01$428.33Not available in this settingRVU15C
2015-04-01$426.20Not available in this settingRVU15B
2015-01-01$426.20Not available in this settingRVU15A
2014-10-01$427.70Not available in this settingRVU14D
2014-07-01$427.70Not available in this settingRVU14C
2014-04-01$427.70Not available in this settingRVU14B
2014-01-01$427.70Not available in this settingRVU14A
2013-10-01$446.04Not available in this settingRVU13D
2013-07-01$446.04Not available in this settingRVU13C
2013-04-01$446.04Not available in this settingRVU13B
2013-01-01$446.04Not available in this settingRVU13AR

Price 95807 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

95807 billing questions

How does this differ from 95806?

95807 is for an attended cardiorespiratory sleep study; 95806 is the corresponding type of unattended study. Choose based on whether a technologist attended the recording.

When should 95808 or 95810 be considered instead?

Those codes describe polysomnography that includes sleep staging. Use them when the study includes EEG-based sleep staging and meets the applicable parameter criteria, rather than a cardiorespiratory study without sleep staging.

Which modifiers identify the study components?

Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

Can the recording equipment or individual signals be billed separately?

The technical component represents the equipment and staff for the study. The code describes the combined cardiorespiratory recording, not separate claims for each recorded signal.

What documentation supports reporting 95807?

Document the clinical indication, technologist attendance, signals recorded, and the interpreting clinician’s report. The record should support that the service was an attended cardiorespiratory study rather than an unattended test or staged polysomnography.

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 95807PPRRVU2026_Oct_nonQPP.csv, line 12,538 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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