Replacing A Breathing Stimulator Generator

Nationwide rates for HCPCS 0431T

The implanted generator of a central sleep apnea stimulation system is removed and a new one is put in its place during the same session. The pocket is opened, the leads are disconnected from the old generator and reconnected to the new one, which is tested before the wound is closed. This is what is done when the battery reaches the end of its life.

Rates data updated July 2026.

How much does Replacing A Breathing Stimulator Generator cost?

$7,244

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $7,244 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $7,586 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 16 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$407	$339 to $776
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$7,586	$4,677 to $14,454

How much rates vary

Facilitymedian $7,586 · 10th to 90th $3,548 to $33,113Professionalmedian $407 · 10th to 90th $295 to $2,239

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
BCBS Setting Facility Modifier Global Typical Low $3,801.89 Median $7,585.78 Typical High $29,512.09	Facility	Global	$3,801.89	$7,585.78	$29,512.09
United Setting Facility Modifier Global Typical Low $630.96 Median $2,290.87 Typical High $7,413.10	Facility	Global	$630.96	$2,290.87	$7,413.10
United Setting Professional Modifier Global Typical Low $30.90 Median $36.31 Typical High $501.19	Professional	Global	$30.90	$36.31	$501.19

What it costs in each state

The same service costs 1621.8 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.

Touch or drag across the chart to see any state's rate.

WA $48,978SC $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.