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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.

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

$141

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $151 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$129$117 to $151
FacilityA hospital or hospital-owned outpatient department$151$151 to $513

How much rates vary

Facilitymedian $151 · 10th to 90th $151 to $759Professionalmedian $129 · 10th to 90th $74 to $204
$100$200$500$1Kfacility $151professional $129

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Utah sits

The same service costs 2.8 times more in Minnesota than in California. 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· 35th of 51

$141

MN $316CA $112

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.