go back

Complex Reprogramming Of An Implanted Nerve Stimulator

Colorado 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?

$54.95

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $69.18 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 7 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$54.95$42.66 to $74.13
FacilityA hospital or hospital-owned outpatient department$69.18$51.29 to $105

How much rates vary

Facilitymedian $69 · 10th to 90th $42 to $148Professionalmedian $55 · 10th to 90th $38 to $105
$50$100$200facility $69professional $55

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
$42.66
Median
$42.66
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$66.07
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$81.28
Typical High
$151.36
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$72.44
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$61.66
Typical High
$204.17
Select Health
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$70.79
Typical High
$128.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$46.77
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$85.11
Typical High
$144.54

Where Colorado 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.

Colorado· 44th of 51

$54.95

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.