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Replacing A Breathing Stimulator Generator

Washington 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?

$48,978

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $48,978 for this service. Most negotiated rates run $33,884 to $67,608.

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 $54,954 · 10th to 90th $30,200 to $134,896Professionalmedian $40,738 · 10th to 90th $24,547 to $58,884
$1K$5K$20K$100Kfacility $54,954professional $40,738

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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$58,884.37
Typical High
$134,896.29
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$24,547.09
Median
$40,738.03
Typical High
$58,884.37
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$40,738.03
Typical High
$50,118.72
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$707.95
Typical High
$1,621.81

Where Washington sits

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.

Washington· 1st of 39

$48,978

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.