Best BiPAP Machines: Top Picks From Our Experts

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Finding the right bilevel positive airway pressure (BiPAP) device may feel overwhelming at first. Just understanding the treatment options for sleep apnea, let alone knowing which device is best, involves reviewing a huge amount of information. 

We know how difficult this process can be, so our expert team has done the legwork to help you find the best BiPAP machine. Beyond highlighting specific brands and models, we&#;ll also cover the logistical issues you&#;ll encounter when starting BiPAP therapy, including purchasing requirements and which accessories are needed.

Similar to the benefits of the best CPAP machines, using a BiPAP device prescribed by a doctor can improve health outcomes if you have sleep apnea. Our guide provides key information that can bring you one step closer to deeper and more restful sleep.

Spoiler Alert &#; Here&#;s Our Pick for Best BiPAP Machine

Our pick for the overall best BiPAP machine is the ResMed AirCurve 10 VAuto. This well-built model includes the core features and functionality that we look for in a BiPAP device, including adjustable pressure settings and a built-in humidifier.

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In-Depth Reviews

Best Overall

ResMed AirCurve 10 VAuto BiPAP Machine

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The ResMed AirCurve 10 VAuto BiPAP Machine checks a lot of boxes for people who rely on nightly therapy for sleep apnea. Defining features include an integrated humidifier and an AutoSet algorithm that adjusts pressure settings throughout the night.

• Pros

  1. Built-in heated humidifier

  2. Compact and lightweight design

  3. Auto-adjusting algorithm dynamically adapts to your breathing needs

• Cons

  1. Heated tubing for rainout prevention must be purchased separately

  2. Some BiPAP users may not need the advanced features

Price

$1,995

Level

27 dBA

The ResMed AirCurve 10 VAuto BiPAP Machine combines solid performance with advanced features like data tracking, a heated humidifier, and differentiated pressure settings. With its easy-to-use design, the AirCurve 10 should appeal to a broad range of BiPAP users.

What Does It Do?

The machine is equipped with an AutoSet algorithm that provides different pressure levels for inhalation and exhalation throughout the night, while Easy-Breathe technology allows the machine to emulate normal breathing patterns to further enhance comfort and efficiency. An integrated humidifier heats the water prior to air delivery. This reduces condensation within the connective tube and helps prevent uncomfortable rainout that can leave you feeling congested.

The machine tracks and stores your therapy data, which you can then download onto an SD card to share with your medical provider. Note that the AirCurve 10 is not equipped with cellular technology for data sharing with ResMed&#;s app.

Who It&#;s Best for

The AirCurve 10 is ideal for sleepers who need a machine that offers different pressure settings for inhalation and exhalation. The pressure automatically adjusts to your breathing to make for an overall more comfortable experience. Some BiPAP machines can cause dry or scratchy throats. If this is a concern, you may benefit from the integrated humidifier to moisten the pressurized air that you&#;re breathing in.

The AirCurve 10 qualifies for free shipping, and it includes a 60-night trial. You may return unused machines during this timeframe for a refund.

Best Features

Luna G3 BPAP 25A Machine

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The Luna G3 BPAP 25A Machine is chock-full of helpful features to keep you comfortable at night. The built-in heated humidifier is an especially nice touch, as this can reduce the potential for rainout and help you avoid feeling congested.

• Pros

  1. Includes four therapy modes

  2. Heated tubing with a preheat function prevents condensation buildup

  3. Front-facing screen lets you easily monitor temperature and humidity levels

• Cons

  1. Lacks spontaneous-timed mode, a more advanced therapy setting included with the Luna G3 30VT model

  2. Not suitable for people who live in very hot or humid climates

Price

$2,049

Level

26 dBA

The Luna G3 BPAP 25A Machine from React Health (formerly 3B Medical) has several advanced features to keep you as comfortable as possible. Heated tubing, an integrated humidifier, preheat settings, automatic ramp features, and a user-friendly interface make the device an accessible and convenient choice for sleepers who need BiPAP therapy.

What Does It Do?

The device measures roughly 60 square inches. A slim profile of 4.5 inches and stable base allow you to place it on any flat surface. The humidifier has a water capacity of 360 milliliters. At less than 4 pounds with the humidifier attached, the machine is fairly lightweight and portable. The interface features a built-in modem, as well as controls for adjusting various settings and accessing sleep reports. All orders include the machine, tubing, an air filter, and a power supply.

Who It&#;s Best for

We consider the Luna travel-friendly due to its compact design, so we recommend this device for frequent travelers. The built-in humidifier also caters to sleepers who experience dry or scratchy throats during CPAP therapy. You can preheat the humidifier to ensure optimal breathing as your therapy begins, and heated tubing with adjustable humidity control helps prevent condensation and rainout that can cause you to feel congested. An auto-ramp feature gradually increases the pressure from a low level to your prescribed inhalation and exhalation settings, allowing you to breathe with ease.

The Luna never exceeds 26 decibels, making it relatively quiet compared to other BiPAP machines. The user-friendly interface provides regular sleep reports and allows you to adjust heat, humidity, and other device settings.

While the Luna is somewhat expensive, its price-point is on par with other advanced BiPAP machines on the market today. The Luna also qualifies for free shipping if you place your order through The Sleep Doctor. The device is backed by a 2-year manufacturer&#;s warranty.

Read Our Full Luna G3 BPAP 25A Machine Review

What Is a BiPAP Machine?

A bilevel positive airway pressure (BiPAP) machine treats sleep apnea by delivering pressurized air through a hose and a mask to keep the user&#;s upper airway open during sleep. It is called a bilevel device because it provides two different air pressure levels: a higher level when you breathe in and a lower pressure when you exhale. 

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What Is the Difference Between BiPAP and CPAP Machines?

The difference between BiPAP devices and continuous positive airway pressure (CPAP) machines is that BiPAP uses two different air pressure levels, while CPAP uses one fixed pressure setting.

BiPAP and CPAP machines have similar designs and accessories, though CPAP machines are a more common initial treatment for obstructive sleep apnea. BiPAP machines tend to be used if CPAP therapy was not effective or for people with more complex breathing conditions. 

What Accessories Should You Have for a BiPAP Machine?

Most BiPAP machines come with standard tubing and at least one air filter. Besides those accessories, at minimum you&#;ll need to purchase a CPAP mask before beginning BiPAP therapy. (Manufacturers and retailers use the phrase CPAP mask as a catchall term, but most mask models can also be used with BiPAP machines.)

Other BiPAP accessories are designed to make therapy more comfortable or more convenient, which may help improve treatment adherence and long-term therapy benefits.

AccessoryDescriptionMaskA mask allows pressurized air generated by the device to reach your airway. Full-face masks deliver air to both the nose and mouth, while nasal masks and nasal pillow masks direct airflow to just the nose. Your doctor can advise you on the best mask type for your condition.Mask CushionsFull-face and nasal masks feature cushions that seal against your face. Nasal pillow masks have soft inserts that seal inside your nostrils. Since cushions and nasal pillows need to be replaced more frequently than the mask frame and headgear, most CPAP retailers sell them separately in addition to offering them as part of complete mask kits.HeadgearLike mask cushions, headgear is sold individually and as part of mask kits. The headgear is typically made up of one or more straps that keep the mask from moving out of position. It has to be replaced if it gets too dirty or worn out.FiltersAir filters are an essential accessory because they purify the air you breathe during BiPAP therapy. If your device has a reusable filter, you will need to wash it regularly and replace it periodically based on the manufacturer&#;s instructions. If your machine uses disposable filters, you will need to replace them more frequently.TubingMost BiPAP machines come with a short length of unheated tubing that connects the device to the mask. Longer and heated hoses are sold separately. Heated tubing is often preferred by people who use a BiPAP machine with a built-in humidifier, since unheated hoses tend to form condensation when warm moisturized air passes through.Tubing HolderHose holders can keep BiPAP tubing from getting snagged or twisted during the night. Some models stand next to your bed, while others are designed to attach to a wall or headboard.BatteryAn external battery is an optional accessory that lets you use a BiPAP machine when you aren&#;t near a wall outlet. Because it isn&#;t essential, a rechargeable battery has to be purchased separately. Before buying one, it&#;s important to make sure that it&#;s compatible with your BiPAP device.CPAP PillowCPAP pillows feature curves or cutouts to accommodate the bulk of a mask. They may be particularly beneficial for BiPAP users who sleep on their side or stomach.Device CaseWhen you receive your BiPAP machine, it may come in a zippered case that can also hold core accessories. A case can be especially handy when traveling with a BiPAP machine.

What to Consider in a BiPAP Machine

When the time comes to shop for a BiPAP machine, a handful of tips can help you find the best machine to improve your nightly sleep. First and foremost, listen to your doctor&#;s advice, as they know the specifics of your condition and can make tailored recommendations. 

Pressure Range

The pressure range tells you the minimum and maximum air pressure level that a BiPAP machine can provide. Most BiPAP devices have a range of around 4 to 25 centimeters of water pressure (cm H2O), though some can reach 30 cm H2O. When you purchase a BiPAP machine, the range will be calibrated based on your prescription.

Climate Control

Climate control includes features like a humidifier that adds moisture to the air that you inhale and exhale. Humidification can reduce nasal dryness when using a BiPAP machine, and most modern devices include a built-in humidifier. 

For any device you&#;re considering, check if there is a built-in humidifier and controls to adjust the moisture level. If available, heated tubing can reduce condensation in the hose, but this type of tubing may need to be purchased separately. 

Noise Level

The sound level, represented in decibels, tells you how loud a BiPAP machine is when it is in operation. If you are easily bothered by noise at night, look for a whisper-quiet device. On average, BiPAP machines produce about 30 decibels when operating at 10 cm H2O. 

Special Features

Special features that you can look for in a BiPAP machine include pressure modifications and data tracking capabilities. Some BiPAP machines include a pressure ramp feature, which lets the pressure level slowly build up as you doze off.

It&#;s also advisable to look into how a device tracks and transmits data about your breathing since it&#;s likely that you will need to share this information with your doctor. The data may be kept locally on an internal SD card or sent wirelessly to cloud storage.

BiPAP machines are among the most complex positive airway pressure (PAP) devices, and some models include sensors and advanced algorithms that can detect breathing patterns and adjust air pressure levels accordingly. Your doctor will prescribe the BiPAP therapy mode that&#;s most appropriate for your situation, so it&#;s important to purchase a machine that can accommodate the prescribed settings.  

Recalls and Warranties

Two things to consider for any BiPAP machine are recalls and warranties. Recalls occur when a safety problem has been found, so it&#;s wise to make sure the device you&#;re looking at hasn&#;t been subject to any recent recalls. 

A warranty is a policy that covers either repairs or replacement of your device if it breaks down prematurely. Most BiPAP devices have a two-year limited warranty.

Where Can You Buy a BiPAP Machine?

You can buy a BiPAP machine from a medical equipment supplier either online or in a local store. Your doctor or a sleep clinic may also be able to sell you a BiPAP machine. 

For many people, the best way to buy a BiPAP machine is to shop online. This lets you browse various sites and get a good deal without having to leave the comfort of home. However, many online BiPAP retailers do not accept insurance, so it&#;s wise to check the reimbursement policies of your insurance carrier.

Pricing, Prescriptions, and Insurance Coverage

BiPAP machines cost around $1,700 to $3,000 on average. The cost varies by the brand, model, and features. 

To buy any BiPAP machine, you&#;ll need a prescription from a licensed medical provider. We recommend having your prescription ready when you order your BiPAP device. 

Health insurance may cover at least part of the cost of a BiPAP machine, typically subject to a deductible. Depending on your diagnosis, some insurance companies may require that you first unsuccessfully try CPAP therapy before they will cover a BiPAP device.

Some insurers stipulate that you must first rent a machine and use it regularly for a set period before it&#;s yours to keep. To continue receiving coverage after starting BiPAP therapy, your doctor may have to verify that you are using the device consistently and that it is improving your breathing.

Dive Deeper: In-Depth PAP Guides

If you need to expand your search to include other PAP products, check out our expert-vetted picks across a range of categories.

Data-Driven Results You Can Trust

We take pride in helping you find products that can improve your sleep. We have years of experience testing and evaluating sleep products, and we dove into the research to identify the best BiPAP machines and top options for both essential and optional accessories.

Frequently Asked Questions

Do you need a prescription for a BiPAP machine?

Whether shopping online or in a brick-and-mortar store, you need a prescription from a licensed health care provider in order to buy a BiPAP machine.

Can you use a CPAP machine instead of a BiPAP machine?

Depending on your diagnosis, you may be able to use a CPAP machine instead of a BiPAP machine. If you have obstructive sleep apnea and no other breathing problems, you may be advised to try a CPAP machine first. 

BiPAP machines are more likely to be recommended if you have complicated breathing problems, such as a mix of both obstructive sleep apnea and central sleep apnea. A BiPAP device may also be prescribed if you already tried using a CPAP machine but struggled with the fixed air pressure level.

Can you buy a BiPAP machine online?

You can buy a BiPAP machine online through authorized medical equipment suppliers. Buying online lets you research different models and compare prices. When buying online, you will still need to provide a copy of your prescription.

How do you clean a BiPAP machine?

The most important advice we can give about cleaning a BiPAP machine is to read the instruction manual and always follow the manufacturer&#;s guidance. 

For most BiPAP machines, you can clean the tubing and mask with warm water and mild soap. Avoid using harsh cleaners like bleach, and avoid products that use ultraviolet light or ozone gas. 

Some accessories, like the mask, should be wiped down every day. Deeper cleaning of the mask, tubing, and humidifier water chamber should typically be done weekly. The user manual should give a more specific timeline for how often to clean and replace BiPAP components.

Are there any side effects from using a BiPAP machine?

There can be side effects from using a BiPAP machine, including skin irritation or sores around the mask area, dryness in the nose or mouth, and general discomfort when using the device. 

If you have these or any other problems when using a BiPAP machine, make sure to bring them up promptly with your doctor. Practical steps, such as adjusting the humidification or trying a new mask, may minimize discomfort and other side effects.

Are there any alternatives to using a BiPAP machine?

There are alternatives to using a BiPAP machine, but their viability depends on the cause and nature of your breathing problems. For obstructive sleep apnea, BiPAP alternatives may include another type of PAP device, upper airway surgery, or wearing a custom-fitted oral appliance during sleep. 

Because treatment is tailored to your needs, you should ask your doctor about what alternatives may be available and their pros and cons in your situation.

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Continuous positive airway pressure (CPAP) machines can cost from a few hundred to a thousand dollars, while other PAP devices tend to be more expensive. The price varies based on the type of device, its features, and whether your insurance covers some of the cost.

CPAP machines are a common treatment for obstructive sleep apnea, a disorder defined by repetitive reductions in breathing during sleep. A CPAP machine works by delivering pressurized air through a hose and mask to promote undisturbed breathing. We cover all the details about how much CPAP machines and their accessories usually cost.

How Much Is a CPAP Machine?

Positive airway pressure (PAP) devices like CPAP machines typically cost between $500 and $3,000. This price range reflects wide variation based on the PAP device&#;s brand, model, and features. 

There are three main types of PAP machines, each with different functions. 

• Continuous positive airway pressure (CPAP): The stream of air generated by a CPAP machine has the same amount of air pressure regardless of whether you are inhaling or exhaling. For obstructive sleep apnea, it is most common to start treatment with a CPAP device. CPAP machines typically cost between $500 and $1,000.
• Bilevel positive airway pressure (BiPAP or BPAP): Bilevel devices allow you to have different air pressure when breathing in and breathing out. A BiPAP machine can also provide breathing assistance for more complicated respiratory problems. BiPAP machines generally cost between $1,700 and $3,000.
• Auto-adjusting positive airway pressure (APAP): APAP machines typically provide the same air pressure during inhalation and exhalation, but the device uses sensors to monitor breathing and modify the pressure level as needed. APAP devices usually cost between $600 and $1,600. 

How Much Are CPAP Masks and Accessories?

A mask and other accessories are necessary to use a CPAP machine. While you will likely be provided with a set of these items when you get started with CPAP therapy, they will need to be periodically replaced. As a result, there are recurring costs to CPAP therapy that go beyond the cost of the device itself.  

How Much Do CPAP Masks Cost? 

Most CPAP masks cost between $50 and $200. The price depends on the type of mask and its design and construction. 

Finding the right mask is critical to getting the most out of a CPAP. The mask needs to be comfortable enough to wear every time you sleep. It also has to fit properly so that air does not leak out, which can reduce CPAP effectiveness. 

You may be able to test out a few kinds of masks during a sleep study. It is normal to try several masks before finding the right one for you. Follow instructions from your doctor or the manufacturer about how to keep your mask clean and a schedule for replacing your mask. 

There are three primary types of CPAP masks. 

• Nasal masks: A nasal mask covers most of your nose and delivers pressurized air into your nostrils. Most nasal CPAP masks cost between $50 and $175. 
• Nasal pillows: A nasal pillow mask sits just under the nostrils and does not go over the bridge of the nose. It must form a seal with the nostrils. Nasal pillow masks generally cost between $70 and $120.
• Full-face masks: These masks go over both the mouth and nose and may be called an oronasal mask. They usually extend from the area below the bottom lip up to the bridge of the nose, but the exact size and shape can vary. Typically, full-face masks cost between $60 and $200. 

The mask options that are available to you can depend on how you breathe and the pressure settings for your CPAP machine. For example, people who breathe through their mouth or who need a high level of pressure may not be able to use nasal masks or pillows.

In addition to the mask itself, there are two other mask-related components that require occasional replacement. 

• Headgear or straps: These accessories hold the mask in the proper place on your face. The size and design of headgear depend on the mask you use. If headgear breaks down or gets grimy, it may need to be replaced and may cost between $15 and $40. 
• Mask cushions: A mask cushion or insert fits inside the mask itself and helps create both a comfortable feel and a solid seal against your face. The cushion must match the mask that you use. Mask cushions tend to cost between $20 and $60.

How Much Do Other CPAP Accessories Cost?

To keep your CPAP working properly, certain accessories need to be replaced from time to time. 

• Air filter: CPAP devices use a filter to remove dust and unwanted air particles. While some filters are removable and washable, others are disposable. The manufacturer&#;s instructions should indicate how often to clean or change the filter. A disposable filter usually costs $5 or less.
• Tubing: The hose or tube carries air from the machine to the mask. Replacing standard CPAP tubing costs between $5 and $35 depending on the length and type of hose. Specialty hoses, such as heated hoses, may be more expensive. 
• Humidifier: A standard feature on most CPAP machines is a humidifier that adds moisture to the pressurized air. If the water reservoir for the humidifier breaks, a replacement often costs between $20 and $50.

What Is the Cost of Cleaning Supplies?

Most supplies for cleaning a CPAP machine cost under $20. Keeping your CPAP clean can help ensure that germs don&#;t build up in the device and negatively affect your health. 

You should always closely follow instructions in the user&#;s manual about cleaning your specific device. The manufacturer may offer guidance on how to avoid damaging the device during cleaning and how often different components need to be washed. 

Depending on your device, there are different CPAP cleaning supplies that you may want to have on hand. 

• Mask wipes: These disposable wipes remove dirt and grime from your mask. A set of wipes normally costs $10 to $20. 
• Soap: Soaps or sprays that can be used for cleaning CPAP masks and tubing usually cost $5 to $10.
• Tube brush: A tube brush enables you to clean inside the hose. You can expect a tube brush or wand to cost $15 to $30.
• Disinfectant: If you need to disinfect parts of your machine, specialty CPAP disinfectants normally cost $5 to $25. 

While there are CPAP cleaning devices that use ozone gas or UV light, the FDA has not approved these devices and has raised concerns over their safety and effectiveness.

Does Insurance Cover a CPAP Machine?

Insurance plans, including Medicare, frequently cover a CPAP machine if it is prescribed by your doctor for sleep apnea. However, whether a CPAP device will be covered and your out-of-pocket costs depend on the details of your health insurance policy. 

To receive coverage, you may have to provide documentation about your need for a CPAP machine. You may also need to provide evidence that you are consistently using and benefiting from the device. With this documentation, insurance may help cover the costs of accessories.

Remember that having insurance coverage does not guarantee that you won&#;t have to pay anything for a CPAP machine. You may be responsible for certain costs based on the terms of your insurance plan. 

• Deductible: The deductible is the amount you have to pay before insurance coverage takes effect. 
• Coinsurance: Once insurance starts paying, you may still be responsible for a percentage of costs, which is known as coinsurance.
• Optional accessories: If you want to replace certain items more frequently or want specialty accessories, you may have to pay for them yourself. 

For some insurance providers, you start by renting a CPAP device. Coverage is provided during this rental period, and then the device becomes yours after a set period of time. In other situations, an insurance provider may cover the initial up-front purchase of a CPAP machine.

Should You Pay for a CPAP Machine Yourself?

You should consider buying a CPAP machine yourself if you have no insurance or an insurance plan that offers minimal coverage for a CPAP device. 

To get a CPAP machine, you will need a prescription from your doctor. After you have a prescription, you can explore your options for obtaining a device. 

If you have an insurance plan with a high deductible or limited CPAP coverage, then it may make financial sense to purchase a machine on your own. Keep in mind, though, that if you forgo insurance coverage, you will be responsible for all of the initial and recurring costs of CPAP accessories and the costs won&#;t be applied to your insurance deductible. 

What Is the Cheapest Way to Buy a CPAP Machine?

There is no single cheapest way to buy a CPAP machine, but several steps may help you find the lowest-cost option: 

• Asking your doctor for a list of acceptable or recommended devices
• Checking with your insurance plan about how much they cover for each of those devices
• Requesting documentation from your insurance provider about CPAP coverage
• Asking your insurance or the equipment provider if a payment plan is available to avoid having to pay all at once
• Looking online to see how much it would cost to buy a recommended device yourself

To save money, some people consider buying a refurbished CPAP machine. While this may be cheaper, it can be hard for you to know the quality of that device, and you may not have warranty protection if the device is faulty. 

It is generally not recommended to buy a used CPAP from individuals or through online marketplaces because it is difficult to know how well the device works or if it was properly maintained. 

Are Other Resources Available to Pay for CPAP Machines?

Unfortunately, the costs of a CPAP machine and accessories can be a barrier to sleep apnea treatment. If you are concerned that financial hardship may prevent you from getting a CPAP, reach out to various sources of help, including: 

• Your doctor&#;s office or a financial aid department if your doctor works in a hospital or other group medical practice
• Your state&#;s health department
• Local, regional, or national non-profit organizations focused on public health
• The American Sleep Apnea Association, which has a program to provide CPAP accessories at a discounted price

Written by

Tochukwu Ikpeze, Staff Writer

Tochukwu grew up in New York and has a passion for creative and scientific writing. Tochukwu holds an undergraduate degree in Biology and Psychology, a Master&#;s degree in Biomedical Science, and a Medical Degree as well. In his free time, Tochukwu enjoys reading, learning, exploring various topics pertaining to the human condition and conveying that information to the public through writing.

Reviewed by

Gerard Meskill, Medical Reviewer

Gerard J. Meskill, MD is board certified in both neurology and sleep medicine, and he is the founder and CEO of Tricoastal Narcolepsy and Sleep Disorders Center. The &#;Tricoastal&#; moniker references his background: he completed neurology residency on the East Coast at Long Island Jewish Medical Center &#; where he served as chief resident, sleep fellowship on the West Coast at Stanford University, and he now practices sleep medicine and neurology on the Gulf Coast in the greater Houston, Texas area.

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