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Home Sleep Test, Type IV Portable Monitor

Utah rates for HCPCS G0400

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

Rates data updated July 2026.

Facilitymedian $151 · 10th–90th $151$7590%50%90th$151Professionalmedian $129 · 10th–90th $74$2040%20%10th90th$129$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
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$151.36
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$51.29
Typical High
$158.49
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$616.60
Typical High
$933.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$204.17
Select Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Select Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$87.10
Typical High
$151.36
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$177.83
Typical High
$288.40