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Complex Reprogramming Of An Implanted Nerve Stimulator

Utah 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?

$79.43

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $123 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$77.62$52.48 to $123
FacilityA hospital or hospital-owned outpatient department$123$91.20 to $186

How much rates vary

Facilitymedian $123 · 10th to 90th $91 to $263Professionalmedian $78 · 10th to 90th $38 to $214
$10$20$50$100$200facility $123professional $78

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
$123.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$79.43
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$89.13
Typical High
$141.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$97.72
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$275.42
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$64.57
Typical High
$102.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Select Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$60.26
Typical High
$125.89
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$72.44
Typical High
$123.03

Where Utah 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.

Utah· 9th of 51

$79.43

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.