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Implanting A Breathing Stimulator For Sleep Apnea

Kentucky rates for HCPCS 0424T

A complete implanted system is placed to treat central sleep apnea, in which the brain periodically stops signaling the body to breathe. A generator goes under the skin of the upper chest and wires are threaded through veins so that one stimulates the nerve controlling the diaphragm while another senses breathing effort, prompting a breath when one is missed. Testing and programming the system are part of the procedure.

Rates data updated July 2026.

How much rates vary

Facilitymedian $11,749 · 10th to 90th $9,550 to $74,131Professionalmedian $74,131 · 10th to 90th $74,131 to $104,713
$10K$20K$50K$100Kfacility $11,749professional $74,131

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$11,748.98
Typical High
$11,748.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$56,234.13
Typical High
$83,176.38
CareSource
Setting
Professional
Modifier
Global
Typical Low
$74,131.02
Median
$74,131.02
Typical High
$104,712.85