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Complex Reprogramming Of An Implanted Nerve Stimulator

Oregon 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?

$85.11

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $110 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$79.43$52.48 to $117
FacilityA hospital or hospital-owned outpatient department$110$72.44 to $129

How much rates vary

Facilitymedian $110 · 10th to 90th $51 to $186Professionalmedian $79 · 10th to 90th $39 to $162
$50$100$200facility $110professional $79

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
$91.20
Median
$97.72
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$60.26
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$158.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$102.33
Typical High
$147.91
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$81.28
Typical High
$186.21
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$114.82
Typical High
$186.21
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$112.20
Typical High
$177.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$83.18
Typical High
$186.21
Providence
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$154.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$426.58
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$107.15
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$151.36

Where Oregon 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.

Oregon· 4th of 51

$85.11

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.