CPT 95806

Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt

CPT 95806 pays $103.21 in a non-facility setting and $103.21 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $92.25 in Arkansas to $122.11 in Alaska, a 32% spread.

National non-facility rate

$103.21

Office and other outpatient settings

Facility rate
$103.21

Hospital and ASC settings

Highest state
$122.11

Alaska

Lowest state
$92.25

Arkansas · 32% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $103.21
CPT 95806 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $103.21, national facility $103.21.
StateRate compared visuallyNon-facilityFacility
Alaska
$122.11$122.11
District of Columbia
$117.68$117.68
California
$116.36$116.36
New Jersey
$113.86$113.86
Washington
$113.66$113.66
New York
$113.56$113.56
Massachusetts
$112.51$112.51
Hawaii
$112.07$112.07
Connecticut
$109.69$109.69
Colorado
$107.67$107.67
Maryland
$106.77$106.77
Oregon
$106.69$106.69
Rhode Island
$105.91$105.91
New Hampshire
$105.86$105.86
Florida
$105.34$105.34
Puerto Rico
$103.96$103.96
Virgin Islands
$103.96$103.96
Minnesota
$103.85$103.85
Montana
$103.20$103.20
Nevada
$102.94$102.94
Illinois
$102.75$102.75
Wyoming
$102.69$102.69
Delaware
$102.31$102.31
Pennsylvania
$102.17$102.17
Texas
$102.14$102.14
North Dakota
$102.02$102.02
South Dakota
$101.88$101.88
Vermont
$101.51$101.51
Virginia
$101.42$101.42
Arizona
$100.73$100.73
Georgia
$100.39$100.39
Michigan
$99.71$99.71
Maine
$99.31$99.31
Wisconsin
$98.85$98.85
Utah
$98.76$98.76
North Carolina
$97.74$97.74
New Mexico
$97.73$97.73
South Carolina
$97.53$97.53
Missouri
$97.35$97.35
Louisiana
$97.14$97.14
Ohio
$97.06$97.06
Indiana
$97.01$97.01
Nebraska
$96.51$96.51
Idaho
$96.49$96.49
Iowa
$95.98$95.98
Tennessee
$95.84$95.84
Kansas
$95.42$95.42
Oklahoma
$95.19$95.19
Kentucky
$95.18$95.18
West Virginia
$94.80$94.80
Alabama
$93.49$93.49
Mississippi
$92.84$92.84
Arkansas
$92.25$92.25

Billed by 2 specialties

Commercial rates for 95806

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates