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Home Sleep Test, Type IV Portable Monitor

Nebraska 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?

$331

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $417 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$331$209 to $389
FacilityA hospital or hospital-owned outpatient department$417$324 to $513

How much rates vary

Facilitymedian $417 · 10th to 90th $269 to $794Professionalmedian $331 · 10th to 90th $105 to $575
$100$200$500$1Kfacility $417professional $331

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
$104.71
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$104.71
Median
$104.71
Typical High
$117.49
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$46.77
Typical High
$51.29
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$58.88
Median
$58.88
Typical High
$67.61
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$426.58
Typical High
$870.96
BCBS Nebraska
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$36.31
Typical High
$38.02
BCBS Nebraska
Setting
Professional
Modifier
TC · Technical part
Typical Low
$40.74
Median
$41.69
Typical High
$42.66
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$147.91
Median
$309.03
Typical High
$331.13
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$64.57
Median
$134.90
Typical High
$134.90
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$194.98
Typical High
$194.98
Medica
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$457.09
Typical High
$660.69
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$269.15
Median
$426.58
Typical High
$851.14
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$117.49
Median
$173.78
Typical High
$346.74
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$251.19
Typical High
$575.44
Midlands
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$331.13
Typical High
$331.13
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$134.90
Typical High
$134.90
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$194.98
Typical High
$194.98
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$138.04
Median
$281.84
Typical High
$512.86
United
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$288.40
Typical High
$363.08
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$346.74
Typical High
$575.44
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$79.43
Median
$144.54
Typical High
$239.88
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$204.17
Typical High
$338.84

Where Nebraska 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.

Nebraska· 1st of 51

$331

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.