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Implanting A Breathing Stimulator Generator

Wisconsin 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 does Implanting A Breathing Stimulator Generator 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 $832 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$832$70.79 to $2,089
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 $35,481Professionalmedian $832 · 10th to 90th $50 to $2,089
$100$500$2K$10K$50Kfacility $18,621professional $832

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
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$97,723.72
Median
$97,723.72
Typical High
$147,910.84
Quartz
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$2,089.30
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 1698.2 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 $51,286SC $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.