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Home Sleep Test, Type IV Portable Monitor

Montana 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?

$170

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $186 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$170$162 to $224
FacilityA hospital or hospital-owned outpatient department$186$141 to $200

How much rates vary

Facilitymedian $186 · 10th to 90th $115 to $214Professionalmedian $170 · 10th to 90th $141 to $251
$100$200facility $186professional $170

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
Professional
Modifier
None (both parts)
Typical Low
$117.49
Median
$141.25
Typical High
$251.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$194.98
Typical High
$213.80
MountainHealth Co-op
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$141.25
Typical High
$208.93
MountainHealth Co-op
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$54.95
Typical High
$63.10
MountainHealth Co-op
Setting
Professional
Modifier
TC · Technical part
Typical Low
$64.57
Median
$70.79
Typical High
$79.43
Providence
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$151.36
Median
$169.82
Typical High
$251.19
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$66.07
Median
$74.13
Typical High
$109.65
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$95.50
Typical High
$141.25
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$208.93
Median
$281.84
Typical High
$309.03
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$104.71
Median
$125.89
Typical High
$141.25
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$147.91
Typical High
$177.83

Where Montana 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.

Montana· 21st of 51

$170

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.