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Home Sleep Test, Type IV Portable Monitor

Illinois rates for HCPCS G0400

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

Rates data updated July 2026.

Facilitymedian $372 · 10th–90th $112$8510%10%10th90th$372Professionalmedian $123 · 10th–90th $69$2090%10%10th90th$123$50.0$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
$112.20
Median
$346.74
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$549.54
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$97.72
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$93.33
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$323.59
Typical High
$977.24
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$512.86
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$218.78
Typical High
$389.05