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Home Sleep Test, Type IV Portable Monitor

Michigan rates for HCPCS G0400

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

Rates data updated July 2026.

Facilitymedian $575 · 10th–90th $372$5890%50%10th90th$575Professionalmedian $151 · 10th–90th $105$2140%20%10th90th$151$50.0$100.0$200.0$500.0$1.0K

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
$478.63
Median
$575.44
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$173.78
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$316.23
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$758.58
Typical High
$891.25
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$151.36
Typical High
$363.08
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$251.19
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$363.08
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$281.84