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Complex Reprogramming Of An Implanted Nerve Stimulator

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $69.18 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$57.54$44.67 to $89.13
FacilityA hospital or hospital-owned outpatient department$69.18$52.48 to $135

How much rates vary

Facilitymedian $69 · 10th to 90th $42 to $1,479Professionalmedian $58 · 10th to 90th $39 to $148
$50$200$1K$5K$20Kfacility $69professional $58

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
$41.69
Median
$58.88
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$53.70
Typical High
$158.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$44.67
Typical High
$51.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$18,197.01
Typical High
$25,703.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$74.13
Typical High
$125.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$61.66
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$275.42
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$77.62
Typical High
$162.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$61.66
Typical High
$144.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$120.23
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$67.61
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$67.61
Typical High
$123.03

Where Missouri 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.

Missouri· 31st 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.