CPT code 95807: Sleep study, technologist-attended recording2026 Medicare rate & RVUs in North Carolina
An attended cardiorespiratory sleep study records breathing, respiratory effort, heart activity, and oxygen saturation to assess sleep-related breathing disorders.
In North Carolina, Medicare pays $414.97 for 95807 in the office.
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.
On this page 11 sections
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 North Carolina 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. North Carolina pays $414.97. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$414.97
- Los Angeles, CA · California$515.86+$100.89
- Washington, DC area · District of Columbia$516.97+$102.00
- Miami, FL · Florida$468.49+$53.52
- Chicago, IL · Illinois$453.19+$38.22
- Manhattan, NY · New York$513.74+$98.77
- Alaska · Alaska$487.64+$72.67
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $479.67 | — |
| Merced, CACalifornia | $479.67 | — |
| Modesto, CACalifornia | $479.67 | — |
| Napa, CACalifornia | $569.37 | — |
| Oxnard, CACalifornia | $514.69 | — |
| Redding, CACalifornia | $479.67 | — |
| Rest of CaliforniaCalifornia | $479.67 | — |
| Riverside, CACalifornia | $481.51 | — |
| Sacramento, CACalifornia | $507.00 | — |
| Salinas, CACalifornia | $505.21 | — |
| San Diego, CACalifornia | $519.86 | — |
| Marin County, CACalifornia | $606.87 | — |
| San Francisco, CACalifornia | $606.68 | — |
| San Benito County, CACalifornia | $620.61 | — |
| Santa Clara County, CACalifornia | $619.82 | — |
| San Luis Obispo, CACalifornia | $496.70 | — |
| Santa Cruz, CACalifornia | $526.98 | — |
| Santa Maria, CACalifornia | $507.86 | — |
| Santa Rosa, CACalifornia | $532.50 | — |
| Stockton, CACalifornia | $479.67 | — |
| Vallejo, CACalifornia | $569.09 | — |
| Visalia, CACalifornia | $479.67 | — |
| Yuba City, CACalifornia | $479.67 | — |
| ColoradoColorado | $468.17 | — |
| ConnecticutConnecticut | $476.09 | — |
| DelawareDelaware | $438.45 | — |
| Fort Lauderdale, FLFlorida | $453.30 | — |
| Rest of FloridaFlorida | $428.99 | — |
| Atlanta, GAGeorgia | $451.17 | — |
| Rest of GeorgiaGeorgia | $401.87 | — |
| Hawaii, Guam, HIHawaii | $495.44 | — |
| IowaIowa | $406.47 | — |
| IdahoIdaho | $408.88 | — |
| East St. Louis, ILIllinois | $417.63 | — |
| Rest of IllinoisIllinois | $412.30 | — |
| Suburban Chicago, ILIllinois | $458.94 | — |
| IndianaIndiana | $411.73 | — |
| KansasKansas | $402.72 | — |
| KentuckyKentucky | $399.11 | — |
| New Orleans, LALouisiana | $420.96 | — |
| Rest of LouisianaLouisiana | $397.77 | — |
| Metropolitan Boston, MAMassachusetts | $521.50 | — |
| Rest of MassachusettsMassachusetts | $464.07 | — |
| Baltimore area, MDMaryland | $474.50 | — |
| Rest of MarylandMaryland | $448.27 | — |
| Rest of MaineMaine | $409.73 | — |
| Southern Maine, MEMaine | $437.90 | — |
| Detroit, MIMichigan | $433.59 | — |
| Rest of MichiganMichigan | $409.83 | — |
| MinnesotaMinnesota | $451.05 | — |
| Metropolitan Kansas City, MOMissouri | $419.27 | — |
| Metropolitan St. Louis, MOMissouri | $424.56 | — |
| Rest of MissouriMissouri | $388.75 | — |
| MississippiMississippi | $387.02 | — |
| MontanaMontana | $443.55 | — |
| North DakotaNorth Dakota | $440.19 | — |
| NebraskaNebraska | $409.53 | — |
| New HampshireNew Hampshire | $459.10 | — |
| Northern New JerseyNew Jersey | $509.96 | — |
| Rest of New JerseyNew Jersey | $482.23 | — |
| New MexicoNew Mexico | $411.83 | — |
| NevadaNevada | $443.01 | — |
| NYC suburbs and Long Island, NYNew York | $525.97 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $484.27 | — |
| Queens, NYNew York | $520.84 | — |
| Rest of New YorkNew York | $422.07 | — |
| OhioOhio | $409.15 | — |
| OklahomaOklahoma | $399.91 | — |
| Portland, OROregon | $486.75 | — |
| Rest of OregonOregon | $440.29 | — |
| Metropolitan Philadelphia, PAPennsylvania | $461.65 | — |
| Rest of PennsylvaniaPennsylvania | $410.77 | — |
| Puerto RicoPuerto Rico | $447.84 | — |
| Rhode IslandRhode Island | $456.82 | — |
| South CarolinaSouth Carolina | $412.61 | — |
| South DakotaSouth Dakota | $439.79 | — |
| TennesseeTennessee | $404.89 | — |
| Austin, TXTexas | $465.98 | — |
| Beaumont, TXTexas | $407.51 | — |
| Brazoria, TXTexas | $439.08 | — |
| Dallas, TXTexas | $441.55 | — |
| Fort Worth, TXTexas | $437.66 | — |
| Galveston, TXTexas | $440.15 | — |
| Houston, TXTexas | $443.26 | — |
| Rest of TexasTexas | $422.81 | — |
| UtahUtah | $419.22 | — |
| VirginiaVirginia | $435.16 | — |
| Virgin Islands, VIUnited States Virgin Islands | $447.84 | — |
| VermontVermont | $436.80 | — |
| Rest of WashingtonWashington | $463.74 | — |
| King County, WAWashington | $534.53 | — |
| WisconsinWisconsin | $423.00 | — |
| West VirginiaWest Virginia | $394.12 | — |
| WyomingWyoming | $442.09 | — |
95807 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.
$384.96
$550.14
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 | $487.64 | 1 |
| AL | $391.58 | 1 |
| AR | $384.96 | 1 |
| AZ | $430.47 | 1 |
| CA | $479.67–$620.61 | 29 |
| CO | $468.17 | 1 |
| CT | $476.09 | 1 |
| DC | $516.97 | 1 |
| DE | $438.45 | 1 |
| FL | $428.99–$468.49 | 3 |
| GA | $401.87–$451.17 | 2 |
| GU | $495.44 | 1 |
| HI | $495.44 | 1 |
| IA | $406.47 | 1 |
| ID | $408.88 | 1 |
| IL | $412.30–$458.94 | 4 |
| IN | $411.73 | 1 |
| KS | $402.72 | 1 |
| KY | $399.11 | 1 |
| LA | $397.77–$420.96 | 2 |
| MA | $464.07–$521.50 | 2 |
| MD | $448.27–$516.97 | 3 |
| ME | $409.73–$437.90 | 2 |
| MI | $409.83–$433.59 | 2 |
| MN | $451.05 | 1 |
| MO | $388.75–$424.56 | 3 |
| MS | $387.02 | 1 |
| MT | $443.55 | 1 |
| NC | $414.97 | 1 |
| ND | $440.19 | 1 |
| NE | $409.53 | 1 |
| NH | $459.10 | 1 |
| NJ | $482.23–$509.96 | 2 |
| NM | $411.83 | 1 |
| NV | $443.01 | 1 |
| NY | $422.07–$525.97 | 5 |
| OH | $409.15 | 1 |
| OK | $399.91 | 1 |
| OR | $440.29–$486.75 | 2 |
| PA | $410.77–$461.65 | 2 |
| PR | $447.84 | 1 |
| RI | $456.82 | 1 |
| SC | $412.61 | 1 |
| SD | $439.79 | 1 |
| TN | $404.89 | 1 |
| TX | $407.51–$465.98 | 8 |
| UT | $419.22 | 1 |
| VA | $435.16–$516.97 | 2 |
| VI | $447.84 | 1 |
| VT | $436.80 | 1 |
| WA | $463.74–$534.53 | 2 |
| WI | $423.00 | 1 |
| WV | $394.12 | 1 |
| WY | $442.09 | 1 |
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
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 North Carolina 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
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.25 | × 1.000 | 1.2500 |
| Practice expense | 11.86 | × 0.933 | 11.0654 |
| Malpractice | 0.17 | × 0.639 | 0.1086 |
| Total RVUs | 12.4240 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Carolina$414.97
Office: (1.25 × 1 + 11.86 × 0.933 + 0.17 × 0.639) × $33.4009 = $414.97
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
| 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
95807 without 26 · national office
$443.56
Sleep study, technologist-attended recording
95807-26 · Professional component
$59.45
Pays only the interpretation and report.
How 95807 has changed in North Carolina
95807 · Office / nonfacility
$414.97
Effective 2026-10-01
The base rate is $41.24 higher than on 2025-10-01, moving from $373.73 to $414.97 (11.0%).
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
$373.73changed to$414.97
- 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 0.926 changed to 0.933
- Malpractice GPCI 0.665 changed to 0.639
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$380.90changed to$373.73
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 10.86 changed to 10.98
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$374.68changed to$380.90
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$365.11changed to$374.68
- 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 0.927 changed to 0.926
- Malpractice GPCI 0.742 changed to 0.665
January 1, 2023
RVU23A
$362.67changed to$365.11
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 9.79 changed to 10.13
- Practice expense GPCI 0.928 changed to 0.927
- Malpractice GPCI 0.819 changed to 0.742
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$380.24changed to$362.67
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 10.24 changed to 9.79
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$388.00changed to$380.24
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 10.07 changed to 10.24
- Practice expense GPCI 0.930 changed to 0.928
- Malpractice GPCI 0.757 changed to 0.819
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$409.74changed to$388.00
- 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
- Practice expense GPCI 0.931 changed to 0.930
- Malpractice GPCI 0.695 changed to 0.757
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$439.45changed to$409.74
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 11.64 changed to 10.74
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$441.28changed to$439.45
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 11.73 changed to 11.64
- Malpractice GPCI 0.732 changed to 0.695
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$452.98changed to$441.28
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 12.12 changed to 11.73
- Practice expense GPCI 0.930 changed to 0.931
- Malpractice GPCI 0.768 changed to 0.732
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$443.76changed to$452.98
- 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.
July 1, 2015
RVU15C
$441.55changed to$443.76
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$444.81changed to$441.55
- 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 0.929 changed to 0.930
- Malpractice GPCI 0.732 changed to 0.768
Held through RVU15B.
January 1, 2014
RVU14A
$465.31changed to$444.81
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 13.26 changed to 11.87
- Practice expense GPCI 0.927 changed to 0.929
- Malpractice GPCI 0.695 changed to 0.732
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $465.31
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $414.97 | Not available in this setting | RVU26D |
| 2026-07-01 | $414.97 | Not available in this setting | RVU26C |
| 2026-04-01 | $414.97 | Not available in this setting | RVU26B |
| 2026-01-01 | $414.97 | Not available in this setting | RVU26A |
| 2025-10-01 | $373.73 | Not available in this setting | RVU25D |
| 2025-07-01 | $373.73 | Not available in this setting | RVU25C |
| 2025-04-01 | $373.73 | Not available in this setting | RVU25B |
| 2025-01-01 | $373.73 | Not available in this setting | RVU25A |
| 2024-10-01 | $380.90 | Not available in this setting | RVU24D |
| 2024-07-01 | $380.90 | Not available in this setting | RVU24C |
| 2024-04-01 | $380.90 | Not available in this setting | RVU24B |
| 2024-03-09 | $380.90 | Not available in this setting | RVU24AR |
| 2024-01-01 | $374.68 | Not available in this setting | RVU24A |
| 2023-10-01 | $365.11 | Not available in this setting | RVU23D |
| 2023-07-01 | $365.11 | Not available in this setting | RVU23C |
| 2023-04-01 | $365.11 | Not available in this setting | RVU23B |
| 2023-01-01 | $365.11 | Not available in this setting | RVU23A |
| 2022-10-01 | $362.67 | Not available in this setting | RVU22D |
| 2022-07-01 | $362.67 | Not available in this setting | RVU22C |
| 2022-04-01 | $362.67 | Not available in this setting | RVU22B |
| 2022-01-01 | $362.67 | Not available in this setting | RVU22A |
| 2021-10-01 | $380.24 | Not available in this setting | RVU21D |
| 2021-07-01 | $380.24 | Not available in this setting | RVU21C |
| 2021-04-01 | $380.24 | Not available in this setting | RVU21B |
| 2021-01-01 | $380.24 | Not available in this setting | RVU21A |
| 2020-10-01 | $388.00 | Not available in this setting | RVU20D |
| 2020-07-01 | $388.00 | Not available in this setting | RVU20C |
| 2020-04-01 | $388.00 | Not available in this setting | RVU20B |
| 2020-01-01 | $388.00 | Not available in this setting | RVU20A |
| 2019-10-01 | $409.74 | Not available in this setting | RVU19D |
| 2019-07-01 | $409.74 | Not available in this setting | RVU19C |
| 2019-04-01 | $409.74 | Not available in this setting | RVU19B |
| 2019-01-01 | $409.74 | Not available in this setting | RVU19A |
| 2018-10-01 | $439.45 | Not available in this setting | RVU18D |
| 2018-07-01 | $439.45 | Not available in this setting | RVU18C |
| 2018-04-01 | $439.45 | Not available in this setting | RVU18B |
| 2018-01-01 | $439.45 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $441.28 | Not available in this setting | RVU17D |
| 2017-07-01 | $441.28 | Not available in this setting | RVU17C |
| 2017-04-01 | $441.28 | Not available in this setting | RVU17B |
| 2017-01-01 | $441.28 | Not available in this setting | RVU17A |
| 2016-10-01 | $452.98 | Not available in this setting | RVU16D |
| 2016-07-01 | $452.98 | Not available in this setting | RVU16C |
| 2016-04-01 | $452.98 | Not available in this setting | RVU16B |
| 2016-01-01 | $452.98 | Not available in this setting | RVU16A |
| 2015-10-01 | $443.76 | Not available in this setting | RVU15D |
| 2015-07-01 | $443.76 | Not available in this setting | RVU15C |
| 2015-04-01 | $441.55 | Not available in this setting | RVU15B |
| 2015-01-01 | $441.55 | Not available in this setting | RVU15A |
| 2014-10-01 | $444.81 | Not available in this setting | RVU14D |
| 2014-07-01 | $444.81 | Not available in this setting | RVU14C |
| 2014-04-01 | $444.81 | Not available in this setting | RVU14B |
| 2014-01-01 | $444.81 | Not available in this setting | RVU14A |
| 2013-10-01 | $465.31 | Not available in this setting | RVU13D |
| 2013-07-01 | $465.31 | Not available in this setting | RVU13C |
| 2013-04-01 | $465.31 | Not available in this setting | RVU13B |
| 2013-01-01 | $465.31 | Not available in this setting | RVU13AR |
Where the North Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
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
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