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Part of Home Apnea Monitoring for an Infant

North Carolina rates for HCPCS 94776

Home apnea monitoring follows a baby's breathing pattern, breathing rate and heart rate continuously at home over a period of weeks, so that pauses in breathing or unusually slow heart rates are captured and can be reviewed. The overall service divides into separate parts — fitting the monitor to the baby, collecting and computer-analyzing the recorded data, and a clinician reading it and writing the report — and this covers one of those parts rather than all of them. Parents are shown how to use the equipment and what to do if the alarm sounds.

Rates data updated July 2026.

How much does Part of Home Apnea Monitoring for an Infant cost?

$257

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $234 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 6 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$257$229 to $324
FacilityA hospital or hospital-owned outpatient department$234$214 to $288

How much rates vary

Facilitymedian $234 · 10th to 90th $209 to $398Professionalmedian $257 · 10th to 90th $214 to $537
$200$500$1Kfacility $234professional $257

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$223.87
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$316.23
Typical High
$524.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$234.42
Typical High
$380.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$257.04
Typical High
$436.52
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,995.26

Where North Carolina sits

The same service costs 1.6 times more in Minnesota than in Kentucky. 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.

North Carolina· 20th of 51

$257

MN $324KY $204

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.