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Complex Reprogramming Of An Implanted Nerve Stimulator

North Carolina 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?

$56.23

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $56.23 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 8 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$56.23$44.67 to $95.50
FacilityA hospital or hospital-owned outpatient department$69.18$51.29 to $132

How much rates vary

Facilitymedian $69 · 10th to 90th $40 to $295Professionalmedian $56 · 10th to 90th $37 to $158
$50$100$200$500$1Kfacility $69professional $56

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
$131.83
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$54.95
Typical High
$158.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$56.23
Typical High
$123.03
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
$95.50
Typical High
$181.97
Medcost
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$154.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$154.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$72.44
Typical High
$134.90
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95

Where North Carolina 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.

North Carolina· 39th of 51

$56.23

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.