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Complex Reprogramming Of An Implanted Nerve Stimulator

Illinois 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?

$58.88

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 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 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$45.71 to $81.28
FacilityA hospital or hospital-owned outpatient department$91.20$60.26 to $245

How much rates vary

Facilitymedian $91 · 10th to 90th $44 to $646Professionalmedian $59 · 10th to 90th $38 to $107
$50$100$200$500$1Kfacility $91professional $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
$43.65
Median
$66.07
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$54.95
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$281.84
Typical High
$691.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$58.88
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$251.19
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$77.62
Typical High
$154.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$93.33
Typical High
$416.87
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$50.12
Typical High
$75.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$223.87
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$83.18
Typical High
$138.04

Where Illinois 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.

Illinois· 32nd of 51

$58.88

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.