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Nationwide rates for HCPCS 95970

Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with brain, cranial nerve, spinal cord, peripheral nerve, or sacral nerve, neurostimulator pulse generator/transmitter, without programming

Facilitymedian $43 · 10th–90th $19–$3390%20%10th90th$43Professionalmedian $26 · 10th–90th $17–$910%20%40%10th90th$26$0.2$5.0$100.0$2.0K$50.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $52.48 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $24.55 / $97.72
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $407.38 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $28.18 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $79.43 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $33.11 / $87.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $275.42 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $28.84 / $74.13

See more rates by state

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