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Complex Reprogramming Of An Implanted Nerve Stimulator

Massachusetts 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?

$72.44

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $72.44 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 9 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$72.44$47.86 to $110
FacilityA hospital or hospital-owned outpatient department$72.44$44.67 to $209

How much rates vary

Facilitymedian $72 · 10th to 90th $39 to $275Professionalmedian $72 · 10th to 90th $39 to $162
$20$100$500$2Kfacility $72professional $72

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
$38.90
Median
$53.70
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$58.88
Typical High
$190.55
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$660.69
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$87.10
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$134.90
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$75.86
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$229.09
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$186.21
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$41.69
Typical High
$95.50
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$64.57
Typical High
$117.49
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$77.62
Typical High
$154.88
Health New England
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$660.69
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$87.10
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$173.78
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$93.33
Typical High
$165.96

Where Massachusetts 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.

Massachusetts· 15th of 51

$72.44

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.