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Complex Reprogramming Of An Implanted Nerve Stimulator

Washington, DC 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?

$51.29

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $51.29 for this service. Most negotiated rates run $38.02 to $57.54.

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.

How much rates vary

Facilitymedian $55 · 10th to 90th $38 to $417Professionalmedian $51 · 10th to 90th $36 to $85
$50$100$200$500facility $55professional $51

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
$38.02
Median
$38.02
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$45.71
Typical High
$74.13
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$46.77
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$95.50
Typical High
$239.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$74.13
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$85.11
Typical High
$169.82

Where Washington, DC 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.

Washington, DC· 51st of 51

$51.29

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.