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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 July 2026.

Facilitymedian $229 · 10th–90th $115$2,2390%20%40%10th90th$229Professionalmedian $155 · 10th–90th $105$3020%20%10th90th$155$2.0$10.0$50.0$200.0$1.0K

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
$114.82
Median
$229.09
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$181.97
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$199.53
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$436.52
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$354.81