go back

Home Sleep Test, Type IV Portable Monitor

New York rates for HCPCS G0400

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

Rates data updated July 2026.

Facilitymedian $676 · 10th–90th $117$3,8020%10%20%10th90th$676Professionalmedian $141 · 10th–90th $102$2000%50%10th90th$141$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$123.03
Median
$741.31
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$208.93
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$123.03
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$5,754.40
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$131.83
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$165.96
Typical High
$338.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$181.97
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$117.49
Typical High
$194.98
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$501.19
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$125.89
Typical High
$346.74
Univera
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$97.72
Univera
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$97.72
Typical High
$190.55