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Complex Reprogramming Of An Implanted Nerve Stimulator

South Dakota 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?

$81.28

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $182 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$81.28$56.23 to $135
FacilityA hospital or hospital-owned outpatient department$182$60.26 to $977

How much rates vary

Facilitymedian $182 · 10th to 90th $42 to $977Professionalmedian $81 · 10th to 90th $43 to $224
$50$100$200$500$1Kfacility $182professional $81

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
$977.24
Median
$977.24
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$81.28
Typical High
$251.19
Avera
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$39.81
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$74.13
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$97.72
Typical High
$691.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$107.15
Typical High
$138.04
Midlands
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$91.20
Typical High
$128.82
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$81.28
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$85.11
Typical High
$131.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$85.11
Typical High
$144.54

Where South Dakota 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 Dakota· 5th of 51

$81.28

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.