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Virginia rates for HCPCS G0400

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

Facilitymedian $158 · 10th–90th $79$4570%10%10th90th$158Professionalmedian $141 · 10th–90th $41$2190%10%20%10th90th$141$20.0$100.0$500.0$2.0K$10.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $302.00 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $147.91 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $131.83 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $134.90 / $169.82
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $151.36 / $229.09
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $128.82 / $302.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $141.25 / $371.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $380.19 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $147.91 / $239.88