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

Reports an attended overnight diagnostic sleep study for a patient age six or older, using sleep staging and at least four additional physiologic parameters.

CMS RVU26DEffective Oct 1, 2026One payment locality183.4K Medicare services in 2024

In Alabama, Medicare pays $596.99 for 95810 in the office.

$596.99Office (non-facility)
Not available in this settingHospital or facility
−11.4%vs the national office rate ($673.70)

Check a contract rate as a % of Medicare · 95810 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 95810 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 95810 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 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.

How Alabama compares for 95810

Across 109 of 109 payment localities, the office rate for 95810 runs from $587.21 in Arkansas to $936.54 in San Benito County, CA. Alabama pays $596.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

95810 in Alabama vs other payment areas
  1. Alabama · this page$596.99
  2. Los Angeles, CA · California$780.90+$183.91
  3. Washington, DC area · District of Columbia$782.94+$185.95
  4. Miami, FL · Florida$710.90+$113.91
  5. Chicago, IL · Illinois$688.43+$91.44
  6. Manhattan, NY · New York$778.53+$181.54
  7. Alaska · Alaska$748.47+$151.48

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

Every other payment area

95810 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$587.21—
ArizonaArizona$654.36—
Bakersfield, CACalifornia$727.87—
Chico, CACalifornia$727.07—
El Centro, CACalifornia$727.11—
Fresno, CACalifornia$727.07—
Hanford, CACalifornia$727.07—
Madera, CACalifornia$727.07—

95810 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.

$587.21

$831.81

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

View every state and territory as a table
95810 office rate range by state
State / territoryOffice rate rangeLocalities
AK$748.471
AL$596.991
AR$587.211
AZ$654.361
CA$727.07–$936.5429
CO$710.121
CT$722.081
DC$782.941
DE$666.221
FL$652.39–$710.903
GA$612.34–$685.022
GU$749.981
HI$749.981
IA$618.861
ID$622.441
IL$627.82–$696.734
IN$626.641
KS$613.371
KY$608.191
LA$606.23–$640.452
MA$704.16–$789.282
MD$680.80–$782.943
ME$623.73–$665.242
MI$624.05–$659.232
MN$684.501
MO$592.95–$645.703
MS$590.321
MT$673.681
NC$631.471
ND$668.541
NE$623.361
NH$696.531
NJ$731.48–$772.782
NM$627.011
NV$672.831
NY$641.94–$796.645
OH$623.001
OK$609.321
OR$668.78–$737.552
PA$625.37–$700.762
PR$679.981
RI$693.561
SC$628.051
SD$667.931
TN$616.581
TX$620.56–$706.718
UT$637.801
VA$661.22–$782.942
VI$679.981
VT$663.571
WA$703.61–$808.642
WI$643.181
WV$601.001
WY$671.441

See 95810 in every payment locality

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.

How the rate is built · 95810

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.44

2.44 RVUs× 1.000 GPCI

Practice expense17.47

17.47 RVUs× 1.000 GPCI

Malpractice0.26

0.26 RVUs× 1.000 GPCI

Adjusted RVUs

20.1700

Conversion factor

$33.4009

Medicare rate

$673.70

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

The exact Alabama inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,544

Code
95810
Physician work
2.44
Practice expense
17.47
Malpractice
0.26

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Office calculation for 95810 in Alabama
ComponentRVULocality factorAdjusted
Physician work2.44× 1.0002.4400
Practice expense17.47× 0.87515.2862
Malpractice0.26× 0.5660.1472
Total RVUs17.8734
Conversion factor× 33.4009

Office rate, Alabama$596.99

Office: (2.44 × 1 + 17.47 × 0.875 + 0.26 × 0.566) × $33.4009 = $596.99

Open 95810 in the RVU calculator

Payment rules and modifiers for 95810

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

CMS payment indicators · 95810

Sleep study, age six or older, attended

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

95810 without 26 · national office

$673.70

Sleep study, age six or older, attended

95810-26 · Professional component

$119.58

Pays only the interpretation and report.

When to use modifier 26

How 95810 has changed in Alabama

95810 · Office / nonfacility

$596.99

Effective 2026-10-01

The base rate is $59.95 higher than on 2025-10-01, moving from $537.04 to $596.99 (11.2%).

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

    $537.04changed to$596.99

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.50 changed to 2.44
    • Practice expense RVU 16.07 changed to 17.47
    • Malpractice RVU 0.24 changed to 0.26
    • Practice expense GPCI 0.869 changed to 0.875
    • Malpractice GPCI 0.575 changed to 0.566

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $550.06changed to$537.04

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 15.98 changed to 16.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $541.09changed to$550.06

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $549.29changed to$541.09

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 15.41 changed to 15.98
    • Practice expense GPCI 0.878 changed to 0.869
    • Malpractice GPCI 0.748 changed to 0.575
  5. January 1, 2023

    RVU23A

    $562.14changed to$549.29

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 15.27 changed to 15.41
    • Malpractice RVU 0.20 changed to 0.24
    • Practice expense GPCI 0.888 changed to 0.878
    • Malpractice GPCI 0.921 changed to 0.748

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $568.37changed to$562.14

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 15.30 changed to 15.27
    • Malpractice RVU 0.22 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $560.86changed to$568.37

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 14.51 changed to 15.30
    • Malpractice RVU 0.20 changed to 0.22
    • Practice expense GPCI 0.889 changed to 0.888
    • Malpractice GPCI 0.707 changed to 0.921

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $563.54changed to$560.86

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 14.65 changed to 14.51
    • Practice expense GPCI 0.890 changed to 0.889
    • Malpractice GPCI 0.492 changed to 0.707

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $575.59changed to$563.54

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 15.04 changed to 14.65
    • Malpractice RVU 0.21 changed to 0.20

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$575.59

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$596.99Not available in this settingRVU26D
2026-07-01$596.99Not available in this settingRVU26C
2026-04-01$596.99Not available in this settingRVU26B
2026-01-01$596.99Not available in this settingRVU26A
2025-10-01$537.04Not available in this settingRVU25D
2025-07-01$537.04Not available in this settingRVU25C
2025-04-01$537.04Not available in this settingRVU25B
2025-01-01$537.04Not available in this settingRVU25A
2024-10-01$550.06Not available in this settingRVU24D
2024-07-01$550.06Not available in this settingRVU24C
2024-04-01$550.06Not available in this settingRVU24B
2024-03-09$550.06Not available in this settingRVU24AR
2024-01-01$541.09Not available in this settingRVU24A
2023-10-01$549.29Not available in this settingRVU23D
2023-07-01$549.29Not available in this settingRVU23C
2023-04-01$549.29Not available in this settingRVU23B
2023-01-01$549.29Not available in this settingRVU23A
2022-10-01$562.14Not available in this settingRVU22D
2022-07-01$562.14Not available in this settingRVU22C
2022-04-01$562.14Not available in this settingRVU22B
2022-01-01$562.14Not available in this settingRVU22A
2021-10-01$568.37Not available in this settingRVU21D
2021-07-01$568.37Not available in this settingRVU21C
2021-04-01$568.37Not available in this settingRVU21B
2021-01-01$568.37Not available in this settingRVU21A
2020-10-01$560.86Not available in this settingRVU20D
2020-07-01$560.86Not available in this settingRVU20C
2020-04-01$560.86Not available in this settingRVU20B
2020-01-01$560.86Not available in this settingRVU20A
2019-10-01$563.54Not available in this settingRVU19D
2019-07-01$563.54Not available in this settingRVU19C
2019-04-01$563.54Not available in this settingRVU19B
2019-01-01$563.54Not available in this settingRVU19A
2018-10-01$575.59Not available in this settingRVU18D
2018-07-01$575.59Not available in this settingRVU18C
2018-04-01$575.59Not available in this settingRVU18B
2018-01-01Rate data unavailableNot available in this settingRVU18AR1
2017-10-01Rate data unavailableNot available in this settingRVU17D
2017-07-01Rate data unavailableNot available in this settingRVU17C
2017-04-01Rate data unavailableNot available in this settingRVU17B
2017-01-01Rate data unavailableNot available in this settingRVU17A
2016-10-01Rate data unavailableNot available in this settingRVU16D
2016-07-01Rate data unavailableNot available in this settingRVU16C
2016-04-01Rate data unavailableNot available in this settingRVU16B
2016-01-01Rate data unavailableNot available in this settingRVU16A
2015-10-01Rate data unavailableNot available in this settingRVU15D
2015-07-01Rate data unavailableNot available in this settingRVU15C
2015-04-01Rate data unavailableNot available in this settingRVU15B
2015-01-01Rate data unavailableNot available in this settingRVU15A
2014-10-01Rate data unavailableNot available in this settingRVU14D
2014-07-01Rate data unavailableNot available in this settingRVU14C
2014-04-01Rate data unavailableNot available in this settingRVU14B
2014-01-01Rate data unavailableNot available in this settingRVU14A
2013-10-01Rate data unavailableNot available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 95810 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

  • Abanda
  • Abbeville
  • Adamsville
  • Addison
  • Akron
  • Alabaster
  • Albertville
  • Alexander City

Browse all communities in Alabama

95810 billing questions

When should 95810 be used instead of 95811?

Use 95810 for the attended diagnostic study. Use 95811 when the study includes positive airway pressure titration.

Can the interpretation be billed separately from the sleep laboratory service?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports 95810?

The record should support the patient’s age, technologist attendance, sleep staging, the additional physiologic parameters recorded, and the physician’s interpretation.

How does 95810 differ from 95807?

95810 includes sleep staging and at least four additional parameters for a patient age six or older. 95807 describes an attended sleep study focused on respiratory and related monitoring, without the same sleep-staging scope.

Is an unattended home study reported as 95810?

No. 95810 describes an attended study with a technologist. Code 95806 is an unattended sleep study focused on respiratory monitoring.

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 95810PPRRVU2026_Oct_nonQPP.csv, line 12,544 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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