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Replacement of Vagus Blocking Pulse Generator

Wisconsin rates for HCPCS 0316T

The pulse generator of a vagus nerve blocking system is exchanged for a new one in its pocket under the skin and reconnected to the leads already on the nerve. It is usually done when the battery in the generator has run down. The leads themselves are left in place.

Rates data updated July 2026.

How much does Replacement of Vagus Blocking Pulse Generator cost?

$18,197

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $18,197 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $18,621 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 5 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$575$70.79 to $977
FacilityA hospital or hospital-owned outpatient department$18,621$15,488 to $21,380

How much rates vary

Facilitymedian $18,621 · 10th to 90th $13,804 to $35,481Professionalmedian $575 · 10th to 90th $50 to $1,023
$100$500$2K$10K$50Kfacility $18,621professional $575

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$18,620.87
Typical High
$30,902.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$97,723.72
Median
$97,723.72
Typical High
$144,543.98
Quartz
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$17,782.79
Typical High
$20,892.96

Where Wisconsin sits

The same service costs 1445.4 times more in Oregon 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.

Wisconsin· 5th of 39

$18,197

OR $43,652SC $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.