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Home Sleep Test, Type IV Portable Monitor

Washington rates for HCPCS G0400

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

Rates data updated July 2026.

Facilitymedian $191 · 10th–90th $45$7940%10%10th90th$191Professionalmedian $162 · 10th–90th $110$2630%10%20%10th90th$162$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$213.80
Median
$446.68
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$218.78
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$977.24
Typical High
$1,737.80
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$223.87
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$257.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$44.67
Typical High
$83.18
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$39.81
Typical High
$46.77
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$208.93
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$363.08
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$933.25
Typical High
$1,698.24
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$794.33
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$245.47
Typical High
$371.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$104.71
Typical High
$169.82