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Complex Reprogramming Of An Implanted Nerve Stimulator

Idaho 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?

$74.13

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $91.20 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$74.13$54.95 to $102
FacilityA hospital or hospital-owned outpatient department$91.20$56.23 to $174

How much rates vary

Facilitymedian $91 · 10th to 90th $43 to $295Professionalmedian $74 · 10th to 90th $47 to $115
$50$100$200$500facility $91professional $74

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
Professional
Modifier
Global
Typical Low
$44.67
Median
$72.44
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$257.04
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$131.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$72.44
Typical High
$154.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$120.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$251.19
Typical High
$346.74
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$75.86
Typical High
$107.15
Select Health
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$151.36
Typical High
$436.52
Select Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$56.23
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$162.18

Where Idaho 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.

Idaho· 12th of 51

$74.13

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.