Billing code 95803: Actigraphy testingMedicare rate & RVUs

Medicare pays $135.27 for 95803 nationally in the office. Local office rates run $119.77–$183.79.

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

What 95803 covers

Actigraphy uses a wearable motion-sensing device, commonly worn on the wrist, to record activity and rest over time and estimate sleep-wake patterns. A sleep medicine clinician may use the results when evaluating insomnia, a suspected circadian rhythm sleep-wake disorder, or a mismatch between reported sleep and observed routines. The test covers recording for at least 72 hours, followed by analysis, interpretation, and a report; it does not measure sleep stages or respiratory events like a sleep study.

Report 95803 for the actigraphy service, supported by documentation of the recording period, analysis, interpretation, and findings. The code has separately priced professional and technical components: modifier 26 identifies interpretation, while modifier TC identifies equipment and staff. Reporting the code without either modifier represents the global service. The record should identify the device-based recording period and explain how the results address the sleep-wake question being evaluated.

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 95803 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

95803 rates by state

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

How the 95803 rate is calculated

Each of 95803’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 95803

The CMS indicators that decide how 95803 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

95803 compared with similar codes

How to choose

95800Home sleep study

95800 is an unattended sleep study that includes sleep-related physiologic measurements. Choose 95803 for extended movement-based sleep-wake pattern assessment, not respiratory testing.

95805Sleep latency test

95805 measures physiologic sleep propensity with a multiple sleep latency test. Actigraphy instead records movement-based sleep-wake patterns over an extended period.

95806Sleep study

95806 is an unattended sleep study with respiratory effort monitoring. It evaluates a different question from actigraphy’s assessment of sleep-wake patterns.

95810Sleep study

95810 is an attended polysomnography service with multiple physiologic channels. Use 95803 for movement-based sleep-wake pattern assessment rather than overnight sleep-stage and physiologic 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

Open CMS sourceHow we calculate rates