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Home Sleep Test, Type IV Portable Monitor

Maine 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?

$174

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $174 for this service. Most negotiated rates run $151 to $240.

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

Facilitymedian $151 · 10th to 90th $151 to $151Professionalmedian $174 · 10th to 90th $132 to $309
$100$200facility $151professional $174

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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
$151.36
Typical High
$151.36
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
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$85.11
Median
$85.11
Typical High
$97.72
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$177.83
Typical High
$204.17
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
Harvard Pilgrim
Setting
Professional
Modifier
None (both parts)
Typical Low
$223.87
Median
$257.04
Typical High
$389.05
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$89.13
Median
$102.33
Typical High
$147.91
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$134.90
Median
$158.49
Typical High
$245.47
Martin's Point
Setting
Professional
Modifier
None (both parts)
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Martin's Point
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$66.07
Typical High
$66.07
Martin's Point
Setting
Professional
Modifier
TC · Technical part
Typical Low
$85.11
Median
$85.11
Typical High
$97.72
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$263.03
Typical High
$416.87
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$74.13
Median
$104.71
Typical High
$154.88
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$158.49
Typical High
$257.04

Where Maine 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.

Maine· 19th of 51

$174

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.