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Complex Reprogramming Of An Implanted Nerve Stimulator

Maine 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?

$63.10

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $63.10 for this service. Most negotiated rates run $48.98 to $87.10.

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.

How much rates vary

Facilitymedian $162 · 10th to 90th $59 to $162Professionalmedian $63 · 10th to 90th $39 to $115
$50$100$200facility $162professional $63

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
$58.88
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$54.95
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$60.26
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$87.10
Typical High
$131.83
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$74.13
Typical High
$138.04
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$67.61
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$77.62
Typical High
$131.83

Where Maine 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.

Maine· 25th of 51

$63.10

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.