go back

Programming Of An Implanted Spinal Cord Or Nerve Stimulator

West Virginia rates for HCPCS 95971

A visit in which a physician or specialist adjusts the electrical settings of a stimulator device already implanted near the spinal cord or a peripheral nerve, used to manage chronic pain or certain movement conditions. The provider changes settings such as stimulation strength or pattern to improve symptom control based on how the patient is responding.

Rates data updated July 2026.

How much does Programming Of An Implanted Spinal Cord Or Nerve Stimulator cost?

$47.86

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $257 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$45.71$41.69 to $53.70
FacilityA hospital or hospital-owned outpatient department$257$229 to $457

How much rates vary

Facilitymedian $257 · 10th to 90th $48 to $562Professionalmedian $46 · 10th to 90th $36 to $65
$50.0$100.0$200.0$500.0facility $257professional $46

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
$47.86
Median
$257.04
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$63.10
CareSource
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$48.98
Typical High
$54.95
CareSource
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$57.54
Typical High
$245.47
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$74.13

Where West Virginia sits

The same service costs 1.6 times more in Wyoming than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $47.86 · 37th of 51
WY $69.18DC $43.65

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.