go back

California rates for HCPCS 95971

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 simple spinal cord or peripheral nerve (eg, sacral nerve) neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional

Facilitymedian $60 · 10th–90th $39–$2040%5%10%10th90th$60Professionalmedian $54 · 10th–90th $37–$1450%10%10th90th$54$20.0$50.0$100.0$200.0$500.0$1.0K

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
$37.15 / $56.23 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $51.29 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $42.66 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $57.54 / $120.23
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $194.98 / $354.81
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $61.66 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $138.04 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $60.26 / $114.82
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $50.12 / $75.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $50.12 / $81.28
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $478.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $69.18
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $56.23 / $95.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $63.10 / $114.82
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $165.96
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $63.10 / $91.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $154.88 / $239.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $52.48 / $104.71