Programming A Breathing Stimulator

Nationwide rates for HCPCS 0435T

An in-person session in which the settings of an implanted central sleep apnea stimulation system are tested and adjusted. The clinician steps through different stimulation settings, checks how the patient responds, selects the values to keep, and writes a report. Tuning usually takes more than one session.

Rates data updated July 2026.

How much does Programming A Breathing Stimulator cost?

$89.13

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $372 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 14 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	$74.13	$61.66 to $123
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$372	$302 to $550

How much rates vary

Facilitymedian $372 · 10th to 90th $102 to $24,547Professionalmedian $74 · 10th to 90th $52 to $372

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
United Setting Facility Modifier Global Typical Low $61.66 Median $61.66 Typical High $112.20	Facility	Global	$61.66	$61.66	$112.20
United Setting Professional Modifier Global Typical Low $30.90 Median $36.31 Typical High $89.13	Professional	Global	$30.90	$36.31	$89.13

What it costs in each state

The same service costs 1862.1 times more in Kentucky 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.

KY $56,234SC $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.