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Replacing The Lead Of A Cranial Nerve Stimulator

Washington, DC rates for HCPCS 64569

Replaces or revises the electrode lead that wraps around a cranial nerve — most often the vagus nerve in the neck — as part of an implanted nerve stimulation system. The site is reopened, the old lead is freed from the nerve, a new one is placed and it is connected to the generator already sitting under the skin. It is done when the lead has broken, moved or stopped delivering therapy.

Rates data updated October 2026.

How much does Replacing The Lead Of A Cranial Nerve Stimulator cost?

$832

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $832 for this service. Most negotiated rates run $759 to $1,738.

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.

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,413 to $19,055Professionalmedian $832 · 10th to 90th $676 to $2,188
$500$1K$2K$5K$10K$20Kfacility $4,169professional $832

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$794.33
Median
$3,548.13
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$794.33
Typical High
$851.14
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$524.81
Median
$602.56
Typical High
$602.56
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$489.78
Median
$562.34
Typical High
$602.56
CareFirst
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$831.76
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$724.44
Typical High
$2,137.96
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,584.89
Typical High
$1,819.70
United
Setting
Facility
Modifier
None
Typical Low
$2,754.23
Median
$5,128.61
Typical High
$42,657.95
United
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$1,023.29
Typical High
$2,187.76

Where Washington, DC sits

The same service costs 5.8 times more in Alaska than in Utah. 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.

Washington, DC· 36th of 51

$832

AK $3,162UT $550

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.