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Pain Pump Check With Setting Adjustment

Delaware rates for HCPCS 62368

A clinician holds a programming device over an implanted drug pump to check that the pump and its alarms are working and to review what it is set to deliver, then adjusts those settings. The pump delivers medication for pain or muscle spasticity into the spine, either into the fluid around the spinal cord or into the space just outside its covering. The medication reservoir is not refilled during this visit.

Rates data updated July 2026.

How much does Pain Pump Check With Setting Adjustment cost?

$40.74

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $4,074 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 3 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$40.74$33.88 to $47.86
FacilityA hospital or hospital-owned outpatient department$4,074$145 to $7,244

How much rates vary

Facilitymedian $4,074 · 10th to 90th $25 to $7,244Professionalmedian $41 · 10th to 90th $32 to $87
$50$100$200$500$1K$2K$5Kfacility $4,074professional $41

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$40.74
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$52.48
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$144.54
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$47.86
Typical High
$81.28

Where Delaware sits

The same service costs 3.0 times more in California than in West Virginia. 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.

Delaware· 50th of 51

$40.74

CA $117WV $39.81

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.