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Complex Reprogramming Of An Implanted Nerve Stimulator

New Mexico 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?

$64.57

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $120 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$43.65 to $102
FacilityA hospital or hospital-owned outpatient department$120$63.10 to $501

How much rates vary

Facilitymedian $120 · 10th to 90th $48 to $794Professionalmedian $59 · 10th to 90th $33 to $204
$100$1K$10K$100Kfacility $120professional $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
$53.70
Median
$53.70
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$58.88
Typical High
$208.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$588.84
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$44.67
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$107.15
Typical High
$165.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$81.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$74.13
Typical High
$162.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$107.15
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$186.21
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$173.78

Where New Mexico 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 Mexico· 23rd of 51

$64.57

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.