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See a sample rate comparisonCPT 95783 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Polysom 6 Yrs Cpap Bilvl, Polysomnography Younger Than 6 Years Sleep Staging With 4 Or More Additional Parameters Of Sleep With Initiation Of Continuous Positive Airway Pressure Therapy Or Bi Level Ventilation Attended By A Technologist
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 95783 |
| Medicaid Fee Schedule | View Medicaid rates for 95783 |
National average reimbursement for CPT 95783 by major payers:
$1,122.50
$1,356.19
$1,345.03
$1,756.80
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CPT 95783
5 of 25 sample ratesHigher to lower in this preview
Matthew Lilley
Bend Memorial Clinic, PC
$2,357.13Published rateElton Smith
$1,684.80Published rateSameen Ahmad
Northwestern Memorial Healthcare
$1,442.75Published rateThomas Herrmann
Hoopeston Community Memorial Hospital
$904.40Published rateKaren Severson
Loyola University Medical Center
$218.61Published rate
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See a sample payer proposalCPT 95783 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95783 code is part of the Medicine Services and Procedures services used for Neurology and Neuromuscular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 95783 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 95782-CPT | High | Overnight Sleep Study, A Technician-Monitored Overnight Sleep Study At A Facility. Brain Activity Breathing Blood Pressure Heart Rate And Other Factors Are Measured As Well As The Quality Of Sleep. |
| 95783-CPT | High | Polysom 6 Yrs Cpap Bilvl, Polysomnography Younger Than 6 Years Sleep Staging With 4 Or More Additional Parameters Of Sleep With Initiation Of Continuous Positive Airway Pressure Therapy Or Bi Level Ventilation Attended By A Technologist |
| 95806-CPT | Low | Sleep Study, A Sleep Study Records Information About Breathing Effort And Ability Heart Rate And Amount Of Oxygen That Is In The Blood While Sleeping. Data May Be Recorded Automatically Or By An Attendant. |
| 95810-CPT | Moderate | Overnight Sleep Study, A Technician-Monitored Overnight Sleep Study At A Facility. Brain Activity Breathing Blood Pressure Heart Rate And Other Factors Are Measured As Well As The Quality Of Sleep. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95783. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95783 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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