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Complex Reprogramming Of An Implanted Nerve Stimulator

Iowa 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?

$75.86

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $105 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$75.86$51.29 to $123
FacilityA hospital or hospital-owned outpatient department$105$75.86 to $170

How much rates vary

Facilitymedian $105 · 10th to 90th $55 to $229Professionalmedian $76 · 10th to 90th $39 to $219
$50$100$200facility $105professional $76

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
$54.95
Median
$54.95
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$72.44
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$165.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$79.43
Typical High
$389.05
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$123.03
Typical High
$223.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$691.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$181.97
Midlands
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$128.82
Typical High
$199.53
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$67.61
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$218.78
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$102.33
Typical High
$165.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$85.11
Typical High
$131.83

Where Iowa 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.

Iowa· 10th of 51

$75.86

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.