Diagnostic · procedure code 95810

Sleep study cost in San Antonio, TX

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

Metro market

Sleep study

San Antonio-New Braunfels, TX · procedure code 95810

Local · metro· n=7,465Pooled filings, payers not identified
Medicare
$159
25th
$469
Median
$651
75th
$898
90th
$15925th
$469Median
$65175th
$89890th
$643Medicare

Middle price

$469

Half of this market is above it, half below

Middle half spans

$159 to $651

4.1x from low to high

The expensive end

$898

What the priciest providers charge

Medicare reference · Rest Of Texas (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 $159 to $651, a 4.1x 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 73% of what Medicare pays for the same service at its Rest Of Texas 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 $898. 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, San Antonio, TX has the 6th highest middle price.

Local · metro
MarketLow endMiddleHigh endProvidersBasis
San Antonio, TX this page$159$469$6517,465Local · metro
Dallas, TX$228$562$82722,102Local · metro
Houston, TX$182$508$71122,290Local · metro
Austin, TX$194$514$7646,946Local · metro
El Paso, TX$158$532$6652,132Local · metro
McAllen, TX$128$492$6081,397Local · 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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