$704.16–$789.28
Use 95808 for sleep staging with one to three additional parameters; 95810 is the higher-parameter attended polysomnography service.
On this page
CMS RVU26D · Effective 2026-10-01
95808 Polysomnography Medicare reimbursement rates in Massachusetts
Attended polysomnography for any age with sleep staging and one to three additional sleep parameters, reported when the study meets this limited parameter scope. Compare 95808 office and facility rates across CMS payment localities in Massachusetts.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 95808 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$535.71–$601.05
2 of 2 localities have a supported rate.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Sleep diagnostics
About 95808: Attended polysomnography, limited parameters
Attended polysomnography for any age with sleep staging and one to three additional sleep parameters, reported when the study meets this limited parameter scope.
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.
CMS billing rules for 95808
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Where the value comes from
- Work RVU1.70 · 11%
- Practice expense (office) RVU13.44 · 88%
- Malpractice RVU0.20 · 1%
755
Medicare services in 2024 · #3205 by national volume
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.
95808 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$739.74–$829.25
95811 includes PAP titration during polysomnography. 95808 is for the limited-parameter attended study without that titration service.
$464.07–$521.50
95807 captures an attended cardiorespiratory sleep study. 95808 requires sleep staging plus one to three additional sleep parameters.
$107.04–$117.97
95806 is an unattended sleep study with respiratory effort; 95808 is an attended study that includes sleep staging.
Compare 95808 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
$601.05
Facility
Unavailable
Rest Of Massachusetts →
Office / nonfacility
$535.71
Facility
Unavailable
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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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
12,53895807,,Sleep study attended,A,,1.25,11.86,,11.86,NA,0.17,13.28,13.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,53995807,26,Sleep study attended,A,,1.25,0.47,,0.47,,0.06,1.78,1.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,54095807,TC,Sleep study attended,A,,0.00,11.39,,11.39,NA,0.11,11.50,11.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,54195808,,Polysom any age 1-3> param,A,,1.70,13.44,,13.44,NA,0.20,15.34,15.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,54295808,26,Polysom any age 1-3> param,A,,1.70,0.67,,0.67,,0.07,2.44,2.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,54395808,TC,Polysom any age 1-3> param,A,,0.00,12.77,,12.77,NA,0.13,12.90,12.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,54495810,,Polysom 6/> yrs 4/> param,A,,2.44,17.47,,17.47,NA,0.26,20.17,20.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00