Diagnostic · procedure code 95810

Sleep study cost in Eau Claire, WI

What health plans have contracted to pay providers for Polysomnography, attended in the Eau Claire market, from the machine-readable files those plans publish under federal law. Not billed charges, and not an estimate.

Metro market

Sleep study

Eau Claire, WI · procedure code 95810

Local · metro· n=2,429Pooled filings, payers not identified
Medicare
$363
25th
$1,067
Median
$5,140
75th
$5,140
90th
$36325th
$1,067Median
$5,14075th
$5,14090th
$643Medicare

Middle price

$1,067

Half of this market is above it, half below

Middle half spans

$363 to $5,140

14.2x from low to high

The expensive end

$5,140

What the priciest providers charge

Medicare reference · Wisconsin (nearest published locality)

$643

Performed in an office

Negotiated prices from published filings, reported only where the sample supports it. For your city, not a statewide average. What plans have agreed to pay, not what a patient is billed. Filings as of July 20, 2026.

Reading it

What this distribution actually says.

The spread

The middle half of this market runs from $363 to $5,140, a 14.2x difference for the same procedure code in the same city. That gap is between contracts, not between quality.

Against Medicare

The middle price sits at 166% of what Medicare pays for the same service at its Wisconsin locality. Medicare is a fixed reference line most finance teams already have a feel for, which is why we print it beside every figure. It is not a fair price and not what anything should cost.

The expensive end

One in ten filings sits at or above $5,140. If a plan's network is weighted toward that end, the difference does not show up in a premium quote. It shows up in the claims.

How wide the data runs

The carriers that filed for this procedure in this market. What each plan has agreed to pay, side by side. These are prices, not bills, so they do not show how often anyone needs it.

The same service elsewhere

Sleep study across other markets.

Of the 6 markets compared here, Eau Claire, WI has the 2nd highest middle price.

Local · metro
MarketLow endMiddleHigh endProvidersBasis
Eau Claire, WI this page$363$1,067$5,1402,429Local · metro
Milwaukee, WI$412$607$1,93024,520Local · metro
Madison, WI$519$915$3,02712,241Local · metro
Green Bay, WI$392$780$1,5705,036Local · metro
La Crosse, WI$471$1,683$2,4403,934Local · metro
Appleton, WI$470$727$1,5023,421Local · metro

Put this in front of a client.

Every figure on this page carries its source, its scope and the date the corpus was built, so it survives being forwarded to someone who was not in the meeting.

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