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Complex Reprogramming Of An Implanted Nerve Stimulator

Kentucky 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?

$67.61

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $56.23 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 7 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$67.61$46.77 to $91.20
FacilityA hospital or hospital-owned outpatient department$56.23$40.74 to $60.26

How much rates vary

Facilitymedian $56 · 10th to 90th $40 to $100Professionalmedian $68 · 10th to 90th $39 to $129
$50$100$200facility $56professional $68

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
$39.81
Median
$54.95
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$54.95
Typical High
$128.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$109.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$58.88
Typical High
$131.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$107.15
Typical High
$389.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$45.71
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$81.28
Typical High
$134.90

Where Kentucky 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.

Kentucky· 19th of 51

$67.61

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.