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Home Sleep Test, Type IV Portable Monitor

Missouri 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?

$200

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $661 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$148 to $234
FacilityA hospital or hospital-owned outpatient department$661$417 to $832

How much rates vary

Facilitymedian $661 · 10th to 90th $219 to $1,096Professionalmedian $200 · 10th to 90th $91 to $617
$100$200$500$1K$2Kfacility $661professional $200

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
$120.23
Median
$147.91
Typical High
$630.96
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$104.71
Median
$125.89
Typical High
$151.36
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$52.48
Typical High
$66.07
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$58.88
Median
$69.18
Typical High
$83.18
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$812.83
Typical High
$1,096.48
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$102.33
Median
$199.53
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$79.43
Typical High
$97.72
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$120.23
Typical High
$141.25
BCBS Kansas City
Setting
Professional
Modifier
TC · Technical part
Typical Low
$181.97
Median
$194.98
Typical High
$199.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$281.84
Typical High
$354.81
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
Medica
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$660.69
Typical High
$977.24
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$489.78
Typical High
$851.14
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$208.93
Typical High
$346.74
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$302.00
Typical High
$575.44
United
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$724.44
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$229.09
Typical High
$323.59
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$57.54
Median
$97.72
Typical High
$131.83
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$66.07
Median
$125.89
Typical High
$190.55

Where Missouri 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.

Missouri· 10th of 51

$200

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.