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Home Sleep Test, Type IV Portable Monitor

Wisconsin rates for HCPCS G0400

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

Rates data updated July 2026.

Facilitymedian $200 · 10th–90th $107$6920%10%10th90th$200Professionalmedian $158 · 10th–90th $105$4900%10%10th90th$158$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
$194.98
Median
$309.03
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$199.53
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$316.23
Typical High
$1,047.13
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$295.12
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$194.98
Typical High
$724.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$354.81
Typical High
$851.14
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$60.26
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$389.05
Typical High
$398.11
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$295.12
Quartz
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$251.19
Typical High
$380.19
Quartz
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$758.58
Quartz
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$794.33
Typical High
$912.01
Security Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Security Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$426.58
Typical High
$467.74
Security Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$1,148.15
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$302.00
Typical High
$707.95