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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 July 2026.

Facilitymedian $302 · 10th–90th $120$1,0720%5%10%10th90th$302Professionalmedian $141 · 10th–90th $102$2140%20%10th90th$141$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$331.13
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$158.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$575.44
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$218.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$190.55
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$275.42