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Complex Reprogramming Of An Implanted Nerve Stimulator

Connecticut 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?

$60.26

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $234 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 6 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$58.88$46.77 to $105
FacilityA hospital or hospital-owned outpatient department$234$141 to $316

How much rates vary

Facilitymedian $234 · 10th to 90th $102 to $363Professionalmedian $59 · 10th to 90th $38 to $155
$50$100$200$500facility $234professional $59

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
$102.33
Median
$229.09
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$54.95
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$83.18
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$316.23
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$102.33
Typical High
$169.82
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$144.54
Health New England
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$81.28
Typical High
$154.88

Where Connecticut 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.

Connecticut· 26th of 51

$60.26

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.