go back

Implanting A Breathing Stimulator Generator

Kentucky rates for HCPCS 0427T

The battery-powered generator of an implanted system for central sleep apnea is placed or replaced in a pocket under the skin of the upper chest. The generator drives the stimulation that prompts a breath when the brain fails to signal one, working through leads that are already in place. Only the generator is handled here, and the existing leads are connected to it.

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