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Home Sleep Test, Type IV Portable Monitor

Hawaii 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?

$170

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $170 for this service. Most negotiated rates run $162 to $275.

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.

How much rates vary

Professionalmedian $170 · 10th to 90th $120 to $275
$100$200professional $170

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
Professional
Modifier
None (both parts)
Typical Low
$109.65
Median
$151.36
Typical High
$218.78
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$69.18
Median
$69.18
Typical High
$257.04
HMSA
Setting
Professional
Modifier
None (both parts)
Typical Low
$199.53
Median
$275.42
Typical High
$275.42
HMSA
Setting
Professional
Modifier
26 · Professional part
Typical Low
$104.71
Median
$112.20
Typical High
$112.20
HMSA
Setting
Professional
Modifier
TC · Technical part
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$120.23
Typical High
$138.04
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$51.29
Typical High
$60.26
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$61.66
Median
$67.61
Typical High
$79.43
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$158.49
Median
$162.18
Typical High
$162.18
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$70.79
Median
$70.79
Typical High
$72.44
University Health Alliance
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
University Health Alliance
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
University Health Alliance
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where Hawaii 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.

Hawaii· 22nd of 51

$170

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.