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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 October 2026.

How much does Home Sleep Test, Type IV Portable Monitor cost?

$132

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $562 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$132$112 to $151
FacilityA hospital or hospital-owned outpatient department$562$151 to $741

How much rates vary

Facilitymedian $562 · 10th to 90th $151 to $912Professionalmedian $132 · 10th to 90th $69 to $170
$50$100$200$500$1Kfacility $562professional $132

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
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
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
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$30.20
Median
$44.67
Typical High
$144.54
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$645.65
Typical High
$933.25
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$112.20
Median
$117.49
Typical High
$131.83
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$51.29
Typical High
$57.54
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$63.10
Median
$66.07
Typical High
$74.13
Select Health
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Select Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$69.18
Median
$97.72
Typical High
$151.36
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$89.13
Typical High
$158.49
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$173.78
Typical High
$281.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$54.95
Median
$79.43
Typical High
$128.82
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$69.18
Median
$93.33
Typical High
$154.88

Where Utah 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.

Utah· 40th of 51

$132

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.