Seeing a sleep doctor online costs $69 for a prescription consultation on its own, or $320 self-pay for a package that includes a home sleep test and a follow-up. With insurance, one service publishes a patient share of $25 to $70. Under Medicare a first visit is approved at $105 to $160 nationally, of which you pay 20% after the Part B deductible.
The number that matters is not the headline price but what sits inside it. A consultation, a test, and a follow-up are three separate things, and the services below bundle them differently.
What online sleep services publish
| Service and what you are buying | Published price | What it covers | What is not in that number |
|---|---|---|---|
| Ognomy, self-pay package | $320 (paid in two parts) | Initial sleep specialist consultation, home sleep test, and follow-up consultation | Further follow-up appointments are published at $99 each |
| Ognomy, billed to insurance | $25 to $70 (your share, not the total) | The same package as the self-pay row, run through your plan | Your deductible. The page states most major plans including Medicare are accepted |
| Telesleep Clinic, home sleep study | $199 (regular price $229) | An at-home sleep study booked through the service | Published as a test price rather than a consultation price |
| The CPAP Shop, Simple RX consultation | $69 (consultation only) | A prescription consultation, sold as an add-on when you buy equipment | No sleep test. It assumes you already know you need the equipment |
The table runs from the most complete package to the narrowest single item, not from cheapest to dearest. Comparing $320 with $69 is comparing a diagnosis pathway with a prescription conversation, so read the covers column before the price.
What moves the number
Whether a test is inside the price is the largest single factor. Ognomy's self-pay $320 splits into $124 at scheduling and $196 for the test and follow-up, so the consultation itself is about a third of it.
Insurance changes the shape rather than the size. The published $25 to $70 is a copay or coinsurance, which means the plan is paying the rest and the deductible sits behind it. If your deductible is unmet, the insured route can cost more than the self-pay route for the first visit of the year.
Follow-ups are usually priced separately. Ognomy publishes further appointments at $99 each. A pathway that ends in CPAP normally needs at least one visit after the results.
Equipment is not in any of these numbers. If the answer is CPAP, that is a separate purchase or a separate rental.
What Medicare approves for a visit
| Visit type and code | Average charge billed | Average Medicare-approved amount | Your 20% share | Services in the year |
|---|---|---|---|---|
| 99204 — new patient visit, moderate complexity | $410.82 | $160.28 (national average) | $32.06 | 11,402,207 |
| 99203 — new patient visit, low complexity | $267.25 | $105.33 (national average) | $21.07 | 8,070,604 |
| 99214 — follow-up visit, moderate complexity | $276.45 | $119.71 (national average) | $23.94 | 95,439,230 |
| 99213 — follow-up visit, low complexity | $189.25 | $85.37 (national average) | $17.07 | 64,778,139 |
| 99442 — telephone discussion with a physician, 11 to 20 minutes | $182.51 | $85.49 (national average) | $17.10 | 1,170,361 |
| G2012 — brief virtual check-in, 5 to 10 minutes | $39.42 | $13.86 (national average) | $2.77 | 59,047 |
The gap between the two ends of this table is the useful part. A full new-patient visit is approved around $160 and a brief virtual check-in around $14. Both happen over video, and they are not the same service. If a price looks unusually low, it is worth asking which of these is being billed.
The volume column also tells you something. Code 99214 was billed over 95 million times in the year, so the ordinary follow-up visit is the most common thing in this table by a wide margin.
The three rules worth knowing
| Rule | Amount or date | What it means |
|---|---|---|
| Where you are allowed to be for a Medicare telehealth visit | Anywhere in the US, including your home, through 2027-12-31 (the provider must also be in the US) | This is the single most movable part of the rules. Check it again before you book if the date has passed |
| What a telehealth visit costs against an in-person one | 20% of the Medicare-approved amount, the same as in person (after the Part B deductible) | Going online does not by itself lower what Medicare charges you. What changes is travel, waiting, and time off work |
| Medicare Part B annual deductible, 2026 | $283 (per year) | The 20% share starts only after this is met for the year |
The date in the first row is the one to watch. Medicare's authority to cover telehealth from your home rather than from a rural clinic runs through the end of 2027. It has been extended repeatedly, but it is not permanent, and it is the rule most likely to have changed by the time you read this.
What to ask before you book
- Is a sleep test included, and which one. A package price with no test in it is a consultation price
- What does a follow-up cost, and how many are expected
- Which states is the provider licensed in. A telehealth clinician generally has to be licensed where you are sitting, not where they are
- Will this produce a prescription if the result supports one, or is that a separate step
- If you have insurance, ask what is billed to the plan and what code is used. The Medicare table above gives you a sense of what an approved amount looks like
When online is the wrong route
Some situations need someone in the room.
- You have nearly fallen asleep while driving
- You have fainted, or you wake with chest pain or a racing heart
- Your sleepiness is severe and a home test has already come back negative
- You have heart failure, a neuromuscular condition, or a lung condition, where the study Medicare covers is the in-lab one
An online consultation can order a home test and read it. It cannot run an attended in-lab study, and for some conditions that is the study that is needed.
This page organises published prices and public payment data. It is general information, not medical advice. Whether a remote visit is appropriate for your situation is a decision for the clinician who sees you.
The two numbers on either side of this one
What an at-home sleep apnea test costs covers the test these visits usually order, and what a sleep study costs without insurance covers the in-lab alternative. If the answer turns out to be equipment, what a CPAP machine costs covers that. For insomnia rather than sleep apnea, what a CBT-I app costs is the closer comparison.
Where these numbers come from
Service prices were read from each service's own page on the date shown. Medicare figures are national averages from the CMS public use file for calendar year 2024, and your own locality's approved amount will differ.
- Ognomy Sleep — cost and insurance section of the service's own site (verified 2026-08-14)
- Telesleep Clinic — home sleep study booking price (verified 2026-08-14)
- The CPAP Shop — ResMed AirSense 11 AutoSet product page, Simple RX option (verified 2026-08-14)
- CMS — Medicare Physician & Other Practitioners, by Geography and Service (CY2024) (verified 2026-08-14)
- Medicare.gov — Telehealth coverage (verified 2026-08-14)
- CMS — 2026 Medicare Parts A & B Premiums and Deductibles (verified 2026-08-14)