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Complex Reprogramming Of An Implanted Nerve Stimulator

Tennessee 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?

$57.54

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $661 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$56.23$46.77 to $77.62
FacilityA hospital or hospital-owned outpatient department$661$107 to $2,951

How much rates vary

Facilitymedian $661 · 10th to 90th $79 to $2,951Professionalmedian $56 · 10th to 90th $38 to $107
$50$100$200$500$1K$2Kfacility $661professional $56

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
$2,089.30
Typical High
$2,951.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$54.95
Typical High
$107.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$64.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$79.43
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$151.36
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$74.13
Typical High
$151.36
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$74.13
Typical High
$125.89

Where Tennessee 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.

Tennessee· 37th of 51

$57.54

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.