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Complex Reprogramming Of An Implanted Nerve Stimulator

Alabama rates for HCPCS 95972

This service involves a detailed, in-depth session to check and adjust the settings of an implanted device that sends electrical pulses to the spinal cord or a peripheral nerve, most often used to manage chronic pain. It involves more extensive adjustment than a basic check, such as reconfiguring multiple settings to fine-tune symptom relief. It's performed by a trained clinician using an external programming device, without any incision.

Rates data updated July 2026.

How much does Complex Reprogramming Of An Implanted Nerve Stimulator cost?

$52.48

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $240 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 4 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$52.48$45.71 to $69.18
FacilityA hospital or hospital-owned outpatient department$240$214 to $269

How much rates vary

Facilitymedian $240 · 10th to 90th $191 to $316Professionalmedian $52 · 10th to 90th $38 to $79
$50$100$200$500facility $240professional $52

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
Professional
Modifier
Global
Typical Low
$38.02
Median
$52.48
Typical High
$75.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$239.88
Typical High
$323.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$60.26
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$72.44
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$125.89
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$56.23
Typical High
$123.03

Where Alabama sits

The same service costs 1.9 times more in Rhode Island than in Washington, DC. 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.

Alabama· 50th of 51

$52.48

RI $95.50DC $51.29

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.