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Home Sleep Test, Type IV Portable Monitor

Ohio 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 Ohio, 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 $263 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$115 to $209
FacilityA hospital or hospital-owned outpatient department$263$234 to $1,072

How much rates vary

Facilitymedian $263 · 10th to 90th $115 to $2,239Professionalmedian $200 · 10th to 90th $69 to $309
$100$200$500$1K$2Kfacility $263professional $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
$114.82
Median
$239.88
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$114.82
Typical High
$977.24
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$64.57
Median
$64.57
Typical High
$67.61
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$40.74
Typical High
$40.74
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$199.53
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$66.07
Median
$77.62
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$104.71
Median
$123.03
Typical High
$199.53
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
Medical Mutual of Ohio
Setting
Professional
Modifier
None (both parts)
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Medical Mutual of Ohio
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Medical Mutual of Ohio
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
SummaCare
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$181.97
Typical High
$218.78
SummaCare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$72.44
Typical High
$89.13
SummaCare
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$107.15
Typical High
$131.83
United
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$512.86
Typical High
$741.31
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$131.83
Median
$177.83
Typical High
$436.52
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$57.54
Median
$79.43
Typical High
$173.78
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$74.13
Median
$107.15
Typical High
$263.03

Where Ohio 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.

Ohio· 12th 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.