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Complex Reprogramming Of An Implanted Nerve Stimulator

Montana 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?

$74.13

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $91.20 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$74.13$52.48 to $102
FacilityA hospital or hospital-owned outpatient department$91.20$67.61 to $110

How much rates vary

Facilitymedian $91 · 10th to 90th $52 to $182Professionalmedian $74 · 10th to 90th $40 to $204
$100$1K$10K$100Kfacility $91professional $74

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
Professional
Modifier
Global
Typical Low
$36.31
Median
$72.44
Typical High
$208.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$66,069.34
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$81.28
Typical High
$239.88
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$177.83
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$177.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$63.10
Typical High
$144.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$91.20
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$138.04

Where Montana 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.

Montana· 13th of 51

$74.13

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.