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Complex Reprogramming Of An Implanted Nerve Stimulator

South 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 South Carolina, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $79.43 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 7 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$54.95$42.66 to $81.28
FacilityA hospital or hospital-owned outpatient department$79.43$54.95 to $234

How much rates vary

Facilitymedian $79 · 10th to 90th $42 to $575Professionalmedian $55 · 10th to 90th $40 to $123
$50$100$200$500facility $79professional $55

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
$41.69
Median
$41.69
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$54.95
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$489.78
Typical High
$776.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$77.62
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$87.10
Typical High
$141.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$69.18
Typical High
$147.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$72.44
Typical High
$125.89

Where South 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.

South Carolina· 38th 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.