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Complex Reprogramming Of An Implanted Nerve Stimulator

Ohio 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?

$67.61

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $170 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 9 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$66.07$47.86 to $100
FacilityA hospital or hospital-owned outpatient department$170$75.86 to $437

How much rates vary

Facilitymedian $170 · 10th to 90th $52 to $447Professionalmedian $66 · 10th to 90th $39 to $138
$50$100$200$500$1Kfacility $170professional $66

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
$52.48
Median
$169.82
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$53.70
Typical High
$102.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$48.98
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$165.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$44.67
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$74.13
Typical High
$154.88
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$74.13
Typical High
$151.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$60.26
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$97.72
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$72.44
Typical High
$131.83

Where Ohio 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.

Ohio· 20th of 51

$67.61

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.