Other diagnostics

95810 - RVUs & Medicare payment (2026)

Sleep study (polysomnography), attended, 6+ parameters.

Component	Non-facility	Facility
Work RVU	2.44	2.44
Practice expense RVU	17.47	17.47
Malpractice RVU	0.26	0.26
Total RVUs	20.17	20.17
National payment (CF $33.4009)	$673.70	$673.70
Qualifying APM payment (CF $33.5675)	$677.06	$677.06

How 95810 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 95810 ranges from $587.21 in Arkansas (AR) to $936.54 in San Jose-Sunnyvale-Santa Clara (CA); calculate 95810 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $936.54 San Jose-Sunnyvale-Santa Clara (CA) $935.34 San Francisco-Oakland-Berkeley (CA) $915.98 San Francisco-Oakland-Berkeley (CA) $915.69 Napa (CA) $860.12 Vallejo (CA) $859.69 Seattle (WA) $808.64 Santa Rosa-Petaluma (CA) $805.15 National average $673.70 … 97 more localities between … Alabama (AL) $596.99 Rest Of Missouri (MO) $592.95 Mississippi (MS) $590.32 Arkansas (AR) $587.21

Non-facility payment for 95810 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: XXX

No global period: the global surgery concept does not apply to this code.

Professional / technical split

95810 can be billed globally or split: modifier 26 for the professional component (interpretation) and TC for the technical component (equipment and staff).

Billing	Total RVUs (non-facility)	National payment
95810-26	3.58	$119.58
95810-TC	16.59	$554.12

Related codes - other diagnostics

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94060 · spirometry before and after bronchodilator

Frequently asked questions

How much does Medicare pay for 95810 in 2026?

The national non-facility payment is $673.70 and the facility payment is $673.70, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 95810?

The 2026 work RVU for 95810 is 2.44. Total RVUs are 20.17 in the non-facility setting and 20.17 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.