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Replacing The Lead Of A Cranial Nerve Stimulator

Hawaii 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?

$4,802

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $4,802 for this procedure. That total is two separate charges: $1,000 to the doctor who performs it, and $3,802 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,000$955 to $1,096
Facility feeThe hospital or surgery center$3,802$2,818 to $3,890

How much rates vary

Facilitymedian $3,802 · 10th to 90th $1,514 to $3,890Professionalmedian $1,000 · 10th to 90th $832 to $1,175
$200$500$1K$2K$5Kfacility $3,802professional $1,000

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
$1,513.56
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$933.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,122.02
Typical High
$1,174.90
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$501.19
Median
$562.34
Typical High
$588.84
HMSA
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$169.82
Median
$190.55
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$870.96
Typical High
$1,202.26
United
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,801.89
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$954.99
Typical High
$954.99
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$912.01
Typical High
$1,023.29

Where Hawaii sits

The same service costs 8.8 times more in Alaska than in Kentucky. 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.

Physician feeFacility fee

Hawaii· 34th of 51

$4,802

$1,000 physician + $3,802 facility

AK $18,298KY $2,076

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.