CPT 95807Other
Reimbursement by state
Sleep study attended
Highest
$480.90
Washington
Median
$399.24
across 53 states
Lowest
$347.98
Mississippi
Spread
38%
highest vs lowest
| Rank | State | Locality | Rate | vs Median |
|---|---|---|---|---|
| 1top | Washington | Seattle (King County) | $480.90 | +20.5% |
| 2 | District of Columbia | Washington DC + MD/VA Suburbs | $473.16 | +18.5% |
| 3 | Massachusetts | Metro Boston | $472.90 | +18.5% |
| 4 | New York | Manhattanⓘ | $466.79 | +16.9% |
| 5 | New Jersey | Northern NJ | $465.65 | +16.6% |
| 6 | Hawaii | Hawaii / Guam |
Methodology
Each state shows the non-facility rate for one representative Medicare locality. Most states have only one locality, but several (CA, NY, TX, FL, IL, MA, MO, NJ, OR, WA, PA) have multiple. For those, we use the largest metropolitan locality. States like California span a wide GPCI range — billers in different California cities should check the locality-specific rate on the main code page.
Rates derived from 2025 CMS Physician Fee Schedule (RVU25A) with 2025 GPCI adjustments. Conversion factor: 32.3465.