CPT
90471 — Immunization administration, single vaccine
ACA-covered vaccines should be free, including the admin fee.
Sleep medicine
95806 — Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory airflow, and respiratory effort
This is a home sleep test (HST) where a portable monitoring device is sent home with you to wear while sleeping in your own bed.
- Typical setting: Sleep lab, home
- National avg charge (illustrative): $150–$500 (significantly less expensive than in-lab studies)
- Most-disputed reason: Being billed the same amount as a full in-lab polysomnography (95810/95811) when a home sleep test was actually performed — home tests cost substantially less.
What it means
What 95806 actually means
This is a home sleep test (HST) where a portable monitoring device is sent home with you to wear while sleeping in your own bed. No technologist is present; it records your breathing, heart rate, and oxygen levels to screen for obstructive sleep apnea.
Common errors with this code
What goes wrong on real bills.
Most bills that look correct still contain at least one of these issues. Up to 49% of medical bills contain errors (CFPB).
- Being billed the same amount as a full in-lab polysomnography (95810/95811) when a home sleep test was actually performed — home tests cost substantially less.
- Billing 95806 when the device used was a type II monitor with full EEG channels, which may warrant different coding; confirm the device type with your provider.
- Duplicate billing from both the sleep lab (technical component) and the interpreting physician (professional component) without the appropriate -TC and -26 modifiers clearly delineating each charge.
If you see 95806 on your bill
Three steps before paying.
1. Get the itemized bill. If your statement only shows a summary, request the CPT-level itemized bill before paying. Generate the request language →
2. Cross-check against the EOB. Compare what your insurer's Explanation of Benefits says you owe versus what the hospital is asking. They disagree more often than people think. Read the bill-vs-EOB guide →
3. Run a free Bill Scan. Upload the bill (and EOB if you have it) and BillBusted will flag the most likely issues with this specific code in your specific state. Run free scan →
Related codes
Other codes in this category.
People who land on 95806 often also see these adjacent codes on the same bill.
CPT
90472 — Immunization admin; each additional vaccine
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90651 — Human papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90670 — Pneumococcal conjugate vaccine, 13 valent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90671 — Pneumococcal conjugate vaccine, 15 valent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90677 — Pneumococcal conjugate vaccine, 20 valent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
Related BillBusted guides
Plain-English reads if you see 95806 on a bill.
95806 FAQ
Plain-English answers.
What does 95806 usually cost?
$150–$500 (significantly less expensive than in-lab studies). Costs vary by region, payer contract, and whether the service was performed in a hospital outpatient department (which adds a facility fee) versus a free-standing clinic.
What's the most common billing error on 95806?
Being billed the same amount as a full in-lab polysomnography (95810/95811) when a home sleep test was actually performed — home tests cost substantially less.
What should I do if I see 95806 on my bill?
Request the itemized bill and the matching EOB from your insurer. Compare the units/quantity billed against what you actually received. Run a free BillBusted scan to flag the most likely errors specific to 95806 before paying.
Don't pay 95806 blindly.
The free scan tells you in under 60 seconds whether this charge looks reasonable for your situation.