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Complex Reprogramming Of An Implanted Nerve Stimulator

Indiana 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?

$53.70

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $288 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$53.70$41.69 to $81.28
FacilityA hospital or hospital-owned outpatient department$288$95.50 to $389

How much rates vary

Facilitymedian $288 · 10th to 90th $40 to $389Professionalmedian $54 · 10th to 90th $38 to $112
$50$100$200facility $288professional $54

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
$46.77
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$51.29
Typical High
$81.28
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$85.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$288.40
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$147.91
CareSource
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$45.71
Typical High
$104.71
CareSource
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$79.43
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$117.49
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$64.57
Typical High
$120.23

Where Indiana 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.

Indiana· 48th of 51

$53.70

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.