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Home Sleep Test, Type IV Portable Monitor

Massachusetts 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?

$263

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $195 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$263$151 to $575
FacilityA hospital or hospital-owned outpatient department$195$115 to $295

How much rates vary

Facilitymedian $195 · 10th to 90th $87 to $372Professionalmedian $263 · 10th to 90th $107 to $912
$100$200$500$1K$2K$5Kfacility $195professional $263

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
$151.36
Median
$1,819.70
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
AllWays Health Partners
Setting
Professional
Modifier
None (both parts)
Typical Low
$208.93
Median
$912.01
Typical High
$912.01
AllWays Health Partners
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$346.74
Typical High
$346.74
AllWays Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$602.56
Typical High
$602.56
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$371.54
BCBS Massachusetts
Setting
Professional
Modifier
None (both parts)
Typical Low
$338.84
Median
$338.84
Typical High
$371.54
BCBS Massachusetts
Setting
Professional
Modifier
26 · Professional part
Typical Low
$61.66
Median
$104.71
Typical High
$141.25
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$69.18
Median
$69.18
Typical High
$125.89
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$30.20
Typical High
$56.23
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.90
Median
$38.90
Typical High
$70.79
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$165.96
Typical High
$338.84
Fallon Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$87.10
Median
$186.21
Typical High
$346.74
Harvard Pilgrim
Setting
Professional
Modifier
None (both parts)
Typical Low
$223.87
Median
$323.59
Typical High
$616.60
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$83.18
Median
$114.82
Typical High
$213.80
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$208.93
Typical High
$407.38
Mass General Brigham
Setting
Professional
Modifier
None (both parts)
Typical Low
$208.93
Median
$912.01
Typical High
$912.01
Mass General Brigham
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$346.74
Typical High
$346.74
Mass General Brigham
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$602.56
Typical High
$602.56
United
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$575.44
Typical High
$851.14
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$147.91
Median
$288.40
Typical High
$812.83
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$66.07
Median
$112.20
Typical High
$275.42
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$81.28
Median
$194.98
Typical High
$537.03
Well Sense
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$208.93
Typical High
$316.23
Well Sense
Setting
Professional
Modifier
None (both parts)
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,019.95

Where Massachusetts 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.

Massachusetts· 2nd of 51

$263

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.