CPT code 95810: Sleep study, age six or older, attended2026 Medicare rate & RVUs

Medicare pays $673.70 for 95810 nationally in the office. Local office rates run $587.21–$936.54.

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

What 95810 covers

This code describes an attended diagnostic polysomnography for a patient age six or older. A sleep technologist monitors the patient during the study, typically in a sleep laboratory, while recording sleep stages and at least four additional physiologic measures. Depending on the study, monitoring may include airflow, respiratory effort, oxygen saturation, heart rhythm, and limb activity. A sleep physician interprets the recorded data and reports the findings, such as evidence of obstructive sleep apnea or another sleep-related disorder.

Select 95810 for a diagnostic study with the required age, attendance, and monitoring scope; it is not the code for a study that includes positive airway pressure titration. Documentation should identify the patient’s age, the attended laboratory setting, the parameters recorded, and the interpretation. The service has professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service.

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.

Where 95810 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

95810 rates by state

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

How the 95810 rate is calculated

Each of 95810’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.

Payment rules and modifiers for 95810

The CMS indicators that decide how 95810 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

95810 compared with similar codes

How to choose

95811Sleep studyPAP titration, age 6+

Choose 95810 for diagnostic polysomnography; choose 95811 when the study includes positive airway pressure titration.

95808PolysomnographySleep staging, 1–3 parameters

95808 is the attended polysomnography code for any age with a different number of additional parameters. 95810 is for patients age six or older with the broader parameter scope.

95807Sleep studyTechnologist-attended recording

95807 covers attended respiratory-focused sleep monitoring without the sleep-staging scope of 95810.

95806Sleep studyHeart rate and respiratory signals

95806 is an unattended respiratory sleep study. 95810 is performed with a technologist and includes sleep staging.

Codes related to 95810

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

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

Open CMS sourceHow we calculate rates