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Home Sleep Test, Type IV Portable Monitor

Virginia 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?

$120

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $148 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$117$30.90 to $158
FacilityA hospital or hospital-owned outpatient department$148$93.33 to $282

How much rates vary

Facilitymedian $148 · 10th to 90th $68 to $457Professionalmedian $117 · 10th to 90th $26 to $174
$20$100$500$2K$10Kfacility $148professional $117

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
$109.65
Median
$158.49
Typical High
$457.09
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$109.65
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$61.66
Median
$89.13
Typical High
$89.13
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$26.30
Median
$117.49
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$48.98
Typical High
$77.62
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$81.28
Median
$97.72
Typical High
$151.36
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
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$134.90
Typical High
$169.82
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$58.88
Typical High
$74.13
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$63.10
Median
$75.86
Typical High
$95.50
Medcost
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Medcost
Setting
Professional
Modifier
None (both parts)
Typical Low
$70.79
Median
$70.79
Typical High
$676.08
Sentara
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$134.90
Typical High
$707.95
Sentara
Setting
Professional
Modifier
None (both parts)
Typical Low
$79.43
Median
$134.90
Typical High
$295.12
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$75.86
Typical High
$131.83
Sentara
Setting
Professional
Modifier
TC · Technical part
Typical Low
$60.26
Median
$117.49
Typical High
$208.93
United
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$446.68
Typical High
$1,000.00
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$79.43
Median
$144.54
Typical High
$223.87
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$74.13
Typical High
$125.89
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.90
Median
$57.54
Typical High
$117.49

Where Virginia 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.

Virginia· 42nd of 51

$120

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.