# CPT 95801: Slp Stdy Unatnd W/min Hrt Rate/o2 Sat/resp Anal

Medicare CPT 95801 pays $103.88 in a non-facility setting and $103.88 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $92.45 in Arkansas to $121.66 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/95801-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Neurology, Pulmonary Disease, Sleep Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $103.88 |
| National facility | $103.88 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $121.66 | $121.66 |
| District of Columbia | $118.80 | $118.80 |
| California | $117.54 | $117.54 |
| New Jersey | $114.81 | $114.81 |
| Washington | $114.71 | $114.71 |
| New York | $114.48 | $114.48 |
| Massachusetts | $113.51 | $113.51 |
| Hawaii | $113.19 | $113.19 |
| Connecticut | $110.56 | $110.56 |
| Colorado | $108.52 | $108.52 |
| Maryland | $107.54 | $107.54 |
| Oregon | $107.51 | $107.51 |
| New Hampshire | $106.67 | $106.67 |
| Rhode Island | $106.63 | $106.63 |
| Florida | $106.02 | $106.02 |
| Puerto Rico | $104.66 | $104.66 |
| Virgin Islands | $104.66 | $104.66 |
| Minnesota | $104.62 | $104.62 |
| Montana | $103.87 | $103.87 |
| Nevada | $103.62 | $103.62 |
| Wyoming | $103.36 | $103.36 |
| Illinois | $103.30 | $103.30 |
| Delaware | $102.92 | $102.92 |
| Pennsylvania | $102.75 | $102.75 |
| Texas | $102.74 | $102.74 |
| North Dakota | $102.69 | $102.69 |
| South Dakota | $102.55 | $102.55 |
| Vermont | $102.15 | $102.15 |
| Virginia | $102.03 | $102.03 |
| Arizona | $101.29 | $101.29 |
| Georgia | $100.90 | $100.90 |
| Michigan | $100.17 | $100.17 |
| Maine | $99.83 | $99.83 |
| Wisconsin | $99.38 | $99.38 |
| Utah | $99.22 | $99.22 |
| North Carolina | $98.19 | $98.19 |
| New Mexico | $98.13 | $98.13 |
| South Carolina | $97.94 | $97.94 |
| Missouri | $97.74 | $97.74 |
| Louisiana | $97.52 | $97.52 |
| Ohio | $97.44 | $97.44 |
| Indiana | $97.43 | $97.43 |
| Nebraska | $96.92 | $96.92 |
| Idaho | $96.89 | $96.89 |
| Iowa | $96.37 | $96.37 |
| Tennessee | $96.20 | $96.20 |
| Kansas | $95.76 | $95.76 |
| Oklahoma | $95.50 | $95.50 |
| Kentucky | $95.48 | $95.48 |
| West Virginia | $95.03 | $95.03 |
| Alabama | $93.74 | $93.74 |
| Mississippi | $93.05 | $93.05 |
| Arkansas | $92.45 | $92.45 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 95801 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules