Cost analysis for CPT 95810 — Sleep study in sleep lab (6 years or older)
Average Medicare Payment
$207.49
2023 data
Total Payments (2023)
$41.9M
Services (2023)
176.0K
Price Change (2014–2023)
-5.1%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $218.64 | $74.0M | 319.7K | — |
| 2015 | $220.22 | $75.3M | 324.4K | +0.7% |
| 2016 | $215.52 | $75.6M | 327.6K | -2.1% |
| 2017 | $213.73 | $74.1M | 320.2K | -0.8% |
| 2018 | $214.89 | $71.7M | 305.8K | +0.5% |
| 2019 | $214.52 | $68.5M | 290.9K | -0.2% |
| 2020 | $216.19 | $42.2M | 178.0K | +0.8% |
| 2021 | $219.64 | $45.5M | 186.6K | +1.6% |
| 2022 | $213.12 | $42.2M | 175.8K | -3.0% |
| 2023 | $207.49 | $41.9M | 176.0K | -2.6% |
The most expensive state pays 5.2x more than the cheapest for this procedure. AK averages $454.65 vs SD at $87.43.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $454.65 | $313.7K | 690 | 16 |
| DC | $407.21 | $254.1K | 624 | 12 |
| NV | $403.49 | $876.0K | 2.2K | 28 |
| CA | $394.41 | $6.2M | 15.8K | 245 |
| WY | $348.15 | $48.4K | 139 | 3 |
| HI | $347.10 | $100.7K | 290 | 9 |
| DE | $333.80 | $366.2K | 1.1K | 20 |
| AZ | $331.10 | $1.4M | 4.1K | 67 |
| MD | $324.33 | $1.5M | 4.6K | 85 |
| FL | $307.50 | $4.3M | 14.1K | 242 |
| VA | $289.10 | $1.9M | 6.5K | 116 |
| MN | $268.14 | $568.2K | 2.1K | 59 |
| MT | $267.69 | $277.3K | 1.0K | 14 |
| NY | $264.95 | $1.8M | 6.9K | 175 |
| OR | $262.26 | $561.2K | 2.1K | 46 |
| RI | $258.39 | $64.9K | 251 | 11 |
| UT | $250.59 | $444.1K | 1.8K | 26 |
| GA | $248.70 | $1.0M | 4.1K | 108 |
| TX | $245.35 | $3.2M | 13.2K | 246 |
| NC | $242.92 | $1.6M | 6.5K | 135 |
| WA | $229.43 | $908.3K | 4.0K | 83 |
| NM | $228.27 | $251.6K | 1.1K | 18 |
| NJ | $223.66 | $692.5K | 3.1K | 86 |
| SC | $219.49 | $967.7K | 4.4K | 69 |
| TN | $210.58 | $1.2M | 5.6K | 102 |
| MA | $209.38 | $788.3K | 3.8K | 87 |
| CT | $207.23 | $373.4K | 1.8K | 46 |
| IL | $205.08 | $1.6M | 7.9K | 178 |
| MI | $191.57 | $868.9K | 4.5K | 113 |
| IA | $189.15 | $331.4K | 1.8K | 29 |
| WV | $183.49 | $187.7K | 1.0K | 29 |
| MS | $183.11 | $521.7K | 2.8K | 39 |
| VT | $173.80 | $47.4K | 273 | 5 |
| LA | $172.94 | $373.5K | 2.2K | 46 |
| CO | $172.80 | $359.8K | 2.1K | 41 |
| KS | $165.34 | $216.8K | 1.3K | 29 |
| ID | $156.53 | $144.0K | 920 | 22 |
| AL | $155.68 | $578.8K | 3.7K | 68 |
| PA | $143.29 | $878.8K | 6.1K | 154 |
| MO | $141.48 | $501.8K | 3.5K | 86 |
| ND | $141.48 | $125.3K | 886 | 11 |
| AR | $134.35 | $350.8K | 2.6K | 32 |
| OH | $130.40 | $909.5K | 7.0K | 154 |
| IN | $129.29 | $581.4K | 4.5K | 80 |
| ME | $125.13 | $84.0K | 671 | 16 |
| OK | $122.56 | $362.0K | 3.0K | 39 |
| KY | $118.81 | $252.2K | 2.1K | 56 |
| NE | $116.66 | $94.6K | 811 | 24 |
| WI | $112.10 | $256.7K | 2.3K | 67 |
| NH | $89.60 | $90.3K | 1.0K | 20 |
| SD | $87.43 | $69.9K | 799 | 13 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Mehrdad Razavi | Sleep Medicine | CA | $457.8K | 919 | $498.10 |
| Tate Grimes | Sleep Medicine | TX | $280.9K | 1.0K | $270.86 |
| Alan Steljes | Cardiology | NV | $184.2K | 390 | $472.42 |
| Total Sleep Management Inc | Independent Diagnostic Testing Facility (IDTF) | FL | $166.2K | 467 | $355.86 |
| Kunal Agarwal | Sleep Medicine | FL | $150.0K | 337 | $445.08 |
| California Sleep Solutions, Llc | Independent Diagnostic Testing Facility (IDTF) | CA | $141.8K | 559 | $253.74 |
| United Sleep Diagnostics Inc | Independent Diagnostic Testing Facility (IDTF) | NY | $137.6K | 294 | $468.01 |
| Sths Sleep Center, Llc | Independent Diagnostic Testing Facility (IDTF) | TN | $129.6K | 381 | $340.18 |
| Jeremy Mcconnell | Family Practice | FL | $122.7K | 272 | $451.24 |
| Fred Mcleod | Otolaryngology | AL | $122.0K | 356 | $342.58 |
| Syed Sayeeduddin | Sleep Medicine | IL | $120.2K | 245 | $490.76 |
| William Noah | Sleep Medicine | TN | $118.9K | 280 | $424.58 |
| Florida Sleep Solutions Inc | Independent Diagnostic Testing Facility (IDTF) | FL | $117.1K | 334 | $350.61 |
| Rachakonda Prabhu | Pulmonary Disease | NV | $117.0K | 255 | $458.83 |
| Palmetto Sleep Lab Llc | Independent Diagnostic Testing Facility (IDTF) | SC | $116.3K | 340 | $342.06 |
| Eastern Iowa Sleep Center, Llc | Independent Diagnostic Testing Facility (IDTF) | IA | $115.3K | 275 | $419.40 |
| Lance Kim | Neurology | FL | $114.9K | 267 | $430.37 |
| Sunny Bhaskaran | Family Practice | WA | $114.9K | 241 | $476.60 |
| Abhijit Deshpande | Sleep Medicine | CA | $112.1K | 197 | $569.20 |
| Coastal Sleep Lab, Inc | Independent Diagnostic Testing Facility (IDTF) | SC | $111.8K | 324 | $345.01 |
The data suggests significant pricing inconsistencies for CPT 95810. With a 5.2x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
While costs have decreased 5.1% since 2014, the wide state-by-state variation suggests the pricing formula may not adequately account for regional differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.