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Implanting A Breathing Stimulator For Sleep Apnea

Wisconsin 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 does Implanting A Breathing Stimulator For Sleep Apnea cost?

$18,197

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $18,197 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $18,621 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,288$70.79 to $3,467
FacilityA hospital or hospital-owned outpatient department$18,621$15,488 to $21,380

How much rates vary

Facilitymedian $18,621 · 10th to 90th $13,804 to $30,903Professionalmedian $1,288 · 10th to 90th $50 to $3,467
$100$500$2K$10K$50Kfacility $18,621professional $1,288

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
$13,803.84
Median
$18,620.87
Typical High
$30,902.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$199,526.23
Median
$199,526.23
Typical High
$301,995.17
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$17,782.79
Typical High
$20,892.96

Where Wisconsin sits

The same service costs 3235.9 times more in Washington than in South Carolina. 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.

Wisconsin· 5th of 39

$18,197

WA $97,724SC $30.20

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.