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Placing a Nerve Stimulator Generator

Nationwide rates for HCPCS 64590

Placement or replacement of the small implanted generator that powers a nerve stimulator. It is put into a pocket made under the skin through a short incision and connected to leads already sitting near the nerve, and it sends mild electrical pulses that change how the nerve signals. It is used for problems such as bladder control and long-standing pain, and a worn-out generator is swapped for a new one the same way.

Rates data updated July 2026.

How much does Placing a Nerve Stimulator Generator cost?

$4,506

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $4,506 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $3,981 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 60 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$525$380 to $741
Facility feeThe hospital or surgery center$3,981$1,047 to $9,333

How much rates vary

Facilitymedian $3,981 · 10th to 90th $295 to $26,303Professionalmedian $525 · 10th to 90th $275 to $1,000
$200$1K$5K$20Kfacility $3,981professional $525

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$3,090.30
Typical High
$11,748.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$7,079.46
Typical High
$38,018.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$1,445.44
Typical High
$22,387.21
United
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$17,782.79
Typical High
$47,863.01

What it costs in each state

The same service costs 22.2 times more in Wisconsin than in Maryland. 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

Touch or drag across the chart to see any state's rate.

WI $16,681MD $752

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.