CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 95806 RVU and Medicare Payment (2026)
Sleep study unatt&resp efft — 0.91 work RVU, about $103.21 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.91
- PE RVU (non-facility)
- 2.12
- PE RVU (facility)
- 2.12
- MP RVU
- 0.06
- Office payment
- $103.21
- Facility payment
- $103.21
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 95806 in a non-facility setting with national GPCI: (0.91 + 2.12 + 0.06) × $33.4009 ≈ $103.21. The same code in a facility setting pays about $103.21 because facility PE RVU (2.12) replaces office PE RVU.
What changes by locality
GPCI moves 95806 non-facility payment from $92.25 to $136.92 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 95806?
0.91. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 95806 in 2026?
About $103.21 non-facility ($103.21 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (0.91) and malpractice RVU stay fixed; only practice expense changes (2.12 office vs 2.12 facility). That is the entire office-vs-facility payment gap.