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Home Sleep Test, Type IV Portable Monitor

Arizona rates for HCPCS G0400

Home sleep test (HST) with type IV portable monitor, unattended; minimum of 3 channels

Rates data updated October 2026.

How much does Home Sleep Test, Type IV Portable Monitor cost?

$162

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $603 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$158$120 to $214
FacilityA hospital or hospital-owned outpatient department$603$257 to $794

How much rates vary

Facilitymedian $603 · 10th to 90th $132 to $912Professionalmedian $158 · 10th to 90th $91 to $851
$100$200$500$1K$2Kfacility $603professional $158

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$120.23
Median
$120.23
Typical High
$151.36
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$52.48
Typical High
$53.70
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$67.61
Median
$67.61
Typical High
$89.13
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$602.56
Typical High
$912.01
BCBS Arizona
Setting
Professional
Modifier
None (both parts)
Typical Low
$186.21
Median
$208.93
Typical High
$363.08
BCBS Arizona
Setting
Professional
Modifier
26 · Professional part
Typical Low
$69.18
Median
$79.43
Typical High
$134.90
BCBS Arizona
Setting
Professional
Modifier
TC · Technical part
Typical Low
$114.82
Median
$131.83
Typical High
$223.87
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Medica
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$131.83
Typical High
$218.78
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$229.09
Typical High
$851.14
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$61.66
Median
$107.15
Typical High
$346.74
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$125.89
Typical High
$575.44
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$158.49
Typical High
$239.88
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$72.44
Typical High
$109.65
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$66.07
Median
$87.10
Typical High
$131.83

Where Arizona sits

The same service costs 3.2 times more in Nebraska than in Mississippi. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 23rd of 51

$162

NE $331MS $105

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.