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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 July 2026.

Facilitymedian $186 · 10th–90th $123$2880%20%40%10th90th$186Professionalmedian $182 · 10th–90th $117$2510%20%10th90th$182$100.0$200.0$500.0

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
Professional
Modifier
Global
Typical Low
$117.49
Median
$123.03
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$169.82
Typical High
$316.23
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$186.21
Typical High
$616.60
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$186.21
Typical High
$616.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$269.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$169.82
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$269.15
Typical High
$323.59