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The Cost of Sleep Apnea Treatment

woman-sleeping-peacefully-bed - no sleep apnea

Various factors influence the cost of therapy for obstructive sleep apnea, including the treatment option prescribed and the patient’s insurance provider. The cost of diagnostics varies as it depends on whether you want to take a sleep study at home or a lab, and the treatment options vary depending on the type of treatment required to treat sleep apnea.

In Richardson, Dr. Tina Feng and her team can work with your insurance provider to help optimize your coverage as well as arrange financing to cover any leftover out-of-pocket costs. People who suffer from obstructive sleep apnea have a higher risk of developing high blood pressure, heart disease, and other significant health conditions; thus, it is well worth getting treatment right away.

What does a Sleep Study Cost?

An overnight sleep study, also known as a polysomnogram (PSG), is a common diagnostic tool used to identify the cause of breathing problems while sleeping. The polysomnogram is a sleep test that records, monitors, and analyzes brain waves, heart rate, breathing patterns, and muscle movements. It helps the sleep physician determine if you have sleep apnea and how severe it is.

The approximate cost of this exam depends on the location where the patient takes the exam and whether your medical insurance covers the test. If you’re unsure of where to go for a sleep study, let us assist you in determining the location of your study. In order to treat OSA, you must undergo an overnight polysomnogram before any sleep apnea treatment can begin.

The cost of a sleep study varies by insurance coverage and type of study. A professional sleep study at a medical facility costs approximately $0-$2500, but is generally covered by insurance. If you take a home sleep study, the cost is between fully covered to around $250.

If you don’t have insurance and plan to take the sleep study at a medical facility, the cost will vary between $2,000 and $3,000. A home sleep test will cost about $200.

Is Sleep Apnea Treatment covered under my Insurance?

To ensure that your insurance company covers the cost of your dental sleep apnea device, you need to have a sleep study or sleep specialist diagnose the condition. In most cases, dental insurance is not covered for a dental appliance or a CPAP; however, your medical health insurance company may cover the cost because it’s designed to help with a medical issue, not a dental one. While everyone’s specific plan is different, oral appliances are typically covered by health insurance plans.

It is recommended to contact your insurance provider to know your benefits to understand what is and what isn’t covered in your policy. If you need third-party financing, we’re partnered with CareCredit and LendingPoint to help you budget for any out-of-pocket expenses. We can also help you navigate the requirements of your insurance plan.

Obstructive Sleep Apnea Treatment Options

When it comes to the treatment of mild sleep apnea or severe sleep apnea, there are few distinct options to treating sleep apnea, each with its own set of costs. The cost for sleep apnea treatment varies as it depends on your insurance coverage or whether you are paying out of pocket with no insurance.

Continuous Positive Airway Pressure - CPAP

The use of continuous positive airway pressure (CPAP) devices are among the most frequent treatments for patients with severe sleep apnea. Many doctors feel that the CPAP treatment is a critical therapy for their sleep apnea patients. It comprises a mask that produces a constant stream of air while sleeping to maintain airways openings throughout the night.

The average cost for a CPAP device can start as low as $500 to upwards of $2,000 or more depending on the device and its features. When using a CPAP device, it requires accessories that needs to be replaced or maintained to prevent bacterial growth and to ensure that your machine is working correctly. Some health insurance companies will cover the cost of these devices if they are medically essential, but not replacement costs. 

The device improves breathing and may increase the overall health of the patient. However, CPAP therapy has several drawbacks. Some patients find it uncomfortable to wear a mask, are noisy, feel embarrassed wearing a mask, and have difficulty tolerating forced air. In addition, every night the patient must be wired to the device, making some feel restricted.

If you’re experiencing these issues with your machine and do not have severe sleep apnea, you may benefit from switching to the more modern alternative known as the oral appliance system (OAS). Patients using OAS generally have moderate obstructive sleep apnea, and the device works like a mouth guard worn at night. The device is comfortable, less intrusive than CPAP machines, and even easier to use.

Cost Breakdown - CPAP

CPAP Machine – Recommended to be replaced every five years by insurance
  • Average cost for standard models exceeding $500+
CPAP Mask – Recommended to be replaced every 3 months
  • Average cost varies depending on style (hybrid mask, full-face mask, nasal mask, nasal pillow) $85 to $165+
Humidifier – If not included with your CPAP machine
  • Average cost for standard models exceeding $100+
CPAP Mask – Recommended to be replaced every 3months
  • Average cost varies depending on style (hybrid mask, full-face mask, nasal mask, nasal pillow) $85 to $165+
Mask Cushion – Recommended to be replaced every 2 to 4 weeks
  • Average cost $40 to $70
Heating Tubing – Recommended to be replaced every 3 months
  • Average cost $20 to $70
Standard Tubing  – Recommended to be replaced every 3 months
  • Average cost $15
Reusable Filter – Recommended to be replaced every 6 months
  • Average cost $10
Disposable Filter – Recommended to be replaced every 2 to 4 weeks
  • Average cost $5
Humidifier Chamber – Recommended to be replaced every 6 months
  • Average cost $20 to $40
CPAP Cleaner Filter
  • Average cost $200 to $400
CPAP Machine - Fairview Dentist - Sloan Creek Dental

Treatment with NightLase laser therapy

To decrease or tighten extra tissue, your doctor may use laser therapy. The procedure is non-invasive and is generally done over multiple sessions. The cost may vary depending on the severity of the case but generally ranges from $2,500 – $4,000. The benefit of using laser therapy for sleep apnea is that you do not need to sleep with a CPAP mask or an oral dental appliance.

Oral Appliance

An oral appliance, also known as a dental appliance, sleep apnea dental device, or oral device, is a non-invasive cost-effective way to treat mild to moderate sleep apnea disorder. When using a sleep apnea dental appliance, it is a removable dental device that keeps your upper airway open and helps you breathe more easily when you sleep. 

The average sleep apnea oral appliance cost depends on the particular type of dental appliance mouthpiece and on each patient’s individual needs. The cost is generally between $2,000-$3,000 and is usual for treatment to cover the actual mouthpiece itself and the dental visit, adjustments, follow-up visits, and any modifications to the dental device required. Health insurance and Medicare generally cover oral appliances for sleep apnea since they are essential for better health. 

Patients who experience severe obstructive sleep apnea with high or severe breathing obstruction levels are generally not candidates for oral appliances. However, sleep physicians may also discuss alternative forms of treatment, such as Continuous Positive Airway Pressure (CPAP), for these patients if their OSA is resistant to the usual efficacious treatment.

What are the advantages of a dental sleep apnea device?

Rest and relax after tooth removal

There are numerous advantages for patients who use a sleep apnea dental appliance. Among these advantages are the following:

  • Easier to use and more comfortable
  • The dental equipment is incredibly portable and small in size
  • The dental appliance cost is significantly less compared to a CPAP machine after factoring in the machine and accessories
  • The majority of patients see improved sleep quality after the first week of use with their dental device

Frequently Asked Questions

Can I skip the CPAP and use a oral appliance instead?

Yes, you can skip using a CPAP machine and start oral appliance therapy as a treatment option to help control moderate sleep apnea. Using the dental appliance can prevent snoring and allow the airway to remain open even while you’re sleeping.

What happens to untreated sleep apnea?

Sleep apnea is a serious condition that doesn’t go away on its own, which means you’re not getting a good night’s rest and enough oxygen. If left untreated, it can lead to daytime fatigue, teeth grinding and other serious health problems such as heart trouble, diabetes, stroke, or high blood pressure.

Is an over-the-counter oral appliance good?

In general, over-the-counter oral devices should not be used for obstructive sleep apnea treatment. In certain situations, OTC oral devices might force the jaw in a worse position for the airway. Without the proper treatment and supervision from a doctor, there are no benefits to these devices that outweigh the risks associated with using them.

Invest in your health and get a good nights rest in Fairview, TX

At Sloan Creek Dental, we believe you deserve a good night’s sleep. If you are interested in learning more about the cost of treating sleep apnea treatment or how we go about treating sleep apnea, contact our office online or call us at 972-468-1440, or leave us a message.  

Our dental office is located in Fairview, Texas, and our patients visit us from across the surrounding areas, including Allen, Plano, McKinney, and Lucas.