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Complex Reprogramming Of An Implanted Nerve Stimulator

Florida 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 Florida, 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 $275 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 8 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$43.65 to $79.43
FacilityA hospital or hospital-owned outpatient department$275$51.29 to $93,325

How much rates vary

Facilitymedian $275 · 10th to 90th $37 to $173,780Professionalmedian $55 · 10th to 90th $37 to $115
$100$1K$10K$100Kfacility $275professional $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
$37.15
Median
$51.29
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$54.95
Typical High
$112.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$104.71
AvMed
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$91.20
Typical High
$144.54
AvMed
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$61.66
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$75.86
Typical High
$165.96
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$128,824.96
Typical High
$245,470.89
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$51.29
Typical High
$93.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$39.81
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$109.65
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$67.61
Typical High
$125.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$43.65
Typical High
$61.66

Where Florida 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.

Florida· 40th 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.