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Complex Reprogramming Of An Implanted Nerve Stimulator

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $112 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$58.88$45.71 to $83.18
FacilityA hospital or hospital-owned outpatient department$112$81.28 to $195

How much rates vary

Facilitymedian $112 · 10th to 90th $72 to $257Professionalmedian $59 · 10th to 90th $37 to $145
$50$100$200$500facility $112professional $59

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
$72.44
Median
$102.33
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$57.54
Typical High
$112.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$83.18
Typical High
$181.97
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$100.00
Typical High
$120.23
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$346.74
Typical High
$478.63
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$64.57
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$61.66
Typical High
$114.82

Where New Jersey 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.

New Jersey· 33rd 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.