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Home Sleep Test, Type IV Portable Monitor

Texas rates for HCPCS G0400

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

Rates data updated July 2026.

Facilitymedian $251 · 10th–90th $115$9550%5%10%10th90th$251Professionalmedian $120 · 10th–90th $56$1700%10%20%10th90th$120$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$100.00
Median
$288.40
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$407.38
Typical High
$724.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$93.33
Typical High
$109.65
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$870.96
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$977.24
Typical High
$977.24
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$251.19
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$213.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$40.74
Typical High
$79.43
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,318.26
Typical High
$1,584.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$251.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$338.84
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$177.83
Typical High
$275.42
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$104.71
Typical High
$169.82