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Replacing A Breathing Stimulator Generator

California 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?

$6,166

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $6,166 for this service. Most negotiated rates run $4,266 to $8,710.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,166 · 10th to 90th $3,631 to $13,804Professionalmedian $2,239 · 10th to 90th $398 to $2,239
$1.0K$10.0K$100.0Kfacility $6,166professional $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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,165.95
Typical High
$13,803.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$398.11
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$141,253.75
Median
$141,253.75
Typical High
$141,253.75
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72

Where California sits

The same service costs 1621.8 times more in Washington than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $6,166 · 15th of 39
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.