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CPT code 95808: Polysomnography, sleep staging, 1–3 parameters2026 Medicare rate & RVUs in Queens, NY

Attended polysomnography for any age with sleep staging and one to three additional sleep parameters, reported when the study meets this limited parameter scope.

CMS RVU26DEffective Oct 1, 2026One payment locality755 Medicare services in 2024

In Queens, NY, Medicare pays $600.66 for 95808 in the office.

$600.66Office (non-facility)
Not available in this settingHospital or facility
+17.2%vs the national office rate ($512.37)

Check a contract rate as a % of Medicare · 95808 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 95808 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 95808 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 95808 covers

This code describes an attended overnight sleep study that records sleep staging along with one to three additional sleep parameters. Sleep staging uses signals such as EEG, eye movement, and chin muscle activity; additional signals may include airflow, respiratory effort, oxygen saturation, or heart rhythm. A sleep technologist monitors the study, commonly in a sleep laboratory, and a qualified physician interprets the recorded data to assess sleep disorders such as sleep apnea or abnormal sleep behaviors.

Select 95808 when the study is attended and includes sleep staging plus one to three additional parameters. The report and recording documentation should identify the signals obtained, confirm technologist attendance, and support the physician’s interpretation. CMS recognizes separately priced professional and technical components: modifier 26 reports interpretation, modifier TC reports equipment and staff, and no component modifier represents the global service. The billing entity should report the component it furnished.

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 Queens, NY compares for 95808

Across 109 of 109 payment localities, the office rate for 95808 runs from $445.83 in Arkansas to $713.93 in San Benito County, CA. Queens, NY pays $600.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

95808 in Queens, NY vs other payment areas
  1. Queens, NY · this page$600.66
  2. Manhattan, NY · New York$592.64−$8.02
  3. NYC suburbs and Long Island, NY · New York$606.57+$5.91
  4. Poughkeepsie and northern NYC suburbs, NY · New York$558.97−$41.69
  5. Rest of New York · New York$487.94−$112.72
  6. Los Angeles, CA · California$594.60−$6.06
  7. Washington, DC area · District of Columbia$596.10−$4.56

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

Every other payment area

95808 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$540.99—
Chicago, ILIllinois$523.66—
AlaskaAlaska$566.94—
AlabamaAlabama$453.36—
ArkansasArkansas$445.83—
ArizonaArizona$497.49—
Bakersfield, CACalifornia$553.93—
Chico, CACalifornia$553.33—

95808 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.

$445.83

$633.63

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

View every state and territory as a table
95808 office rate range by state
State / territoryOffice rate rangeLocalities
AK$566.941
AL$453.361
AR$445.831
AZ$497.491
CA$553.33–$713.9329
CO$540.321
CT$549.471
DC$596.101
DE$506.591
FL$495.98–$540.993
GA$465.17–$521.072
GU$571.061
HI$571.061
IA$470.181
ID$472.941
IL$477.08–$530.044
IN$476.171
KS$465.961
KY$461.971
LA$460.46–$486.792
MA$535.71–$601.052
MD$517.78–$596.103
ME$473.93–$505.862
MI$474.18–$501.242
MN$520.691
MO$450.25–$490.843
MS$448.231
MT$512.361
NC$479.881
ND$508.401
NE$473.651
NH$529.941
NJ$556.59–$588.232
NM$476.451
NV$511.701
NY$487.94–$606.575
OH$473.371
OK$462.851
OR$508.59–$561.402
PA$475.19–$533.092
PR$517.211
RI$527.541
SC$477.251
SD$507.931
TN$468.431
TX$471.49–$537.768
UT$484.751
VA$502.77–$596.102
VI$517.211
VT$504.581
WA$535.30–$615.892
WI$488.891
WV$456.441
WY$510.631

See 95808 in every payment locality

How the 95808 rate is calculated

Each of 95808’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 · 95808

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.70

1.70 RVUs× 1.000 GPCI

Practice expense13.44

13.44 RVUs× 1.000 GPCI

Malpractice0.20

0.20 RVUs× 1.000 GPCI

Adjusted RVUs

15.3400

Conversion factor

$33.4009

Medicare rate

$512.37

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

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,541

Code
95808
Physician work
1.70
Practice expense
13.44
Malpractice
0.20

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 95808 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work1.70× 1.0641.8088
Practice expense13.44× 1.18215.8861
Malpractice0.20× 1.4420.2884
Total RVUs17.9833
Conversion factor× 33.4009

Office rate, Queens, NY$600.66

Office: (1.7 × 1.064 + 13.44 × 1.182 + 0.2 × 1.442) × $33.4009 = $600.66

Open 95808 in the RVU calculator

Payment rules and modifiers for 95808

The CMS indicators that decide how 95808 is paid alongside other services.

CMS payment indicators · 95808

Polysomnography, sleep staging, 1–3 parameters

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

95808 without 26 · national office

$512.37

Polysomnography, sleep staging, 1–3 parameters

95808-26 · Professional component

$81.50

Pays only the interpretation and report.

When to use modifier 26

Codes related to 95808

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

Codes related to 95808
CodeHow it relatesOffice range, Queens, NY
Same family
95810Sleep study, age six or older, attendedAttended polysomnography with sleep staging and four or more additional parameters.$788.95
95811Sleep study, PAP titration, age 6+Polysomnography with PAP titration.$829.00
Used instead
95807Sleep study, technologist-attended recordingAttended cardiorespiratory sleep study without the sleep-staging scope of 95808.$520.84
95806Sleep study, heart rate and respiratory signalsUnattended sleep study with respiratory effort; used for a different testing approach.$118.93
95800Home sleep study, unattended, includes sleep timeUnattended sleep study, rather than attended polysomnography.$164.25

How 95808 has changed in Queens, NY

95808 · Office / nonfacility

$600.66

Effective 2026-10-01

The base rate is $37.18 higher than on 2025-10-01, moving from $563.48 to $600.66 (6.6%).

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

    $563.48changed to$600.66

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.74 changed to 1.70
    • Practice expense RVU 12.77 changed to 13.44
    • Malpractice RVU 0.21 changed to 0.20
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $605.56changed to$563.48

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 13.44 changed to 12.77
    • Malpractice RVU 0.19 changed to 0.21

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $595.67changed to$605.56

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $670.25changed to$595.67

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 14.49 changed to 13.44
    • Malpractice RVU 0.18 changed to 0.19
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $840.42changed to$670.25

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 17.89 changed to 14.49
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $825.75changed to$840.42

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 17.45 changed to 17.89
    • Malpractice RVU 0.15 changed to 0.18

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $803.36changed to$825.75

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 16.53 changed to 17.45
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $815.99changed to$803.36

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 17.06 changed to 16.53
    • Malpractice RVU 0.16 changed to 0.15
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $853.98changed to$815.99

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 17.96 changed to 17.06

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $774.86changed to$853.98

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 16.18 changed to 17.96
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $762.33changed to$774.86

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 15.94 changed to 16.18
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $725.83changed to$762.33

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 15.12 changed to 15.94
    • Malpractice RVU 0.11 changed to 0.16

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $722.22changed to$725.83

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $759.71changed to$722.22

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 15.92 changed to 15.12
    • Malpractice RVU 0.17 changed to 0.11
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $776.09changed to$759.71

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 17.33 changed to 15.92
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $776.09

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$600.66Not available in this settingRVU26D
2026-07-01$600.66Not available in this settingRVU26C
2026-04-01$600.66Not available in this settingRVU26B
2026-01-01$600.66Not available in this settingRVU26A
2025-10-01$563.48Not available in this settingRVU25D
2025-07-01$563.48Not available in this settingRVU25C
2025-04-01$563.48Not available in this settingRVU25B
2025-01-01$563.48Not available in this settingRVU25A
2024-10-01$605.56Not available in this settingRVU24D
2024-07-01$605.56Not available in this settingRVU24C
2024-04-01$605.56Not available in this settingRVU24B
2024-03-09$605.56Not available in this settingRVU24AR
2024-01-01$595.67Not available in this settingRVU24A
2023-10-01$670.25Not available in this settingRVU23D
2023-07-01$670.25Not available in this settingRVU23C
2023-04-01$670.25Not available in this settingRVU23B
2023-01-01$670.25Not available in this settingRVU23A
2022-10-01$840.42Not available in this settingRVU22D
2022-07-01$840.42Not available in this settingRVU22C
2022-04-01$840.42Not available in this settingRVU22B
2022-01-01$840.42Not available in this settingRVU22A
2021-10-01$825.75Not available in this settingRVU21D
2021-07-01$825.75Not available in this settingRVU21C
2021-04-01$825.75Not available in this settingRVU21B
2021-01-01$825.75Not available in this settingRVU21A
2020-10-01$803.36Not available in this settingRVU20D
2020-07-01$803.36Not available in this settingRVU20C
2020-04-01$803.36Not available in this settingRVU20B
2020-01-01$803.36Not available in this settingRVU20A
2019-10-01$815.99Not available in this settingRVU19D
2019-07-01$815.99Not available in this settingRVU19C
2019-04-01$815.99Not available in this settingRVU19B
2019-01-01$815.99Not available in this settingRVU19A
2018-10-01$853.98Not available in this settingRVU18D
2018-07-01$853.98Not available in this settingRVU18C
2018-04-01$853.98Not available in this settingRVU18B
2018-01-01$853.98Not available in this settingRVU18AR1
2017-10-01$774.86Not available in this settingRVU17D
2017-07-01$774.86Not available in this settingRVU17C
2017-04-01$774.86Not available in this settingRVU17B
2017-01-01$774.86Not available in this settingRVU17A
2016-10-01$762.33Not available in this settingRVU16D
2016-07-01$762.33Not available in this settingRVU16C
2016-04-01$762.33Not available in this settingRVU16B
2016-01-01$762.33Not available in this settingRVU16A
2015-10-01$725.83Not available in this settingRVU15D
2015-07-01$725.83Not available in this settingRVU15C
2015-04-01$722.22Not available in this settingRVU15B
2015-01-01$722.22Not available in this settingRVU15A
2014-10-01$759.71Not available in this settingRVU14D
2014-07-01$759.71Not available in this settingRVU14C
2014-04-01$759.71Not available in this settingRVU14B
2014-01-01$759.71Not available in this settingRVU14A
2013-10-01$776.09Not available in this settingRVU13D
2013-07-01$776.09Not available in this settingRVU13C
2013-04-01$776.09Not available in this settingRVU13B
2013-01-01$776.09Not available in this settingRVU13AR

Price 95808 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

95808 billing questions

How is 95808 different from 95810?

Both are attended polysomnography, but 95808 covers sleep staging with one to three additional parameters. Use 95810 for the applicable study with four or more parameters.

When is 95811 used instead?

95811 describes polysomnography with PAP titration. Choose 95808 for a study in its limited-parameter scope without that titration service.

What do modifiers 26 and TC represent?

Modifier 26 identifies the professional interpretation, while TC identifies the technical service, including equipment and staff. Reporting without either modifier represents the global service.

What documentation supports 95808?

The record should show that a technologist attended, identify sleep-staging signals and the one to three additional parameters recorded, and include the physician’s interpretation.

How does 95808 differ from 95807?

95808 includes sleep staging and one to three additional parameters. 95807 is an attended sleep study focused on specified cardiorespiratory measurements rather than sleep staging.

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 95808PPRRVU2026_Oct_nonQPP.csv, line 12,541 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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