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Complex Reprogramming Of An Implanted Nerve Stimulator

Virginia 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?

$60.26

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $66.07 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$58.88$45.71 to $79.43
FacilityA hospital or hospital-owned outpatient department$66.07$51.29 to $102

How much rates vary

Facilitymedian $66 · 10th to 90th $39 to $158Professionalmedian $59 · 10th to 90th $38 to $110
$50$200$1K$5Kfacility $66professional $59

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
$38.02
Median
$44.67
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$54.95
Typical High
$100.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$66.07
Typical High
$104.71
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$51.29
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$194.98
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$81.28
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$67.61
Typical High
$83.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$128.82
Typical High
$154.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$69.18
Typical High
$165.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Sentara
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$77.62
Typical High
$158.49
Sentara
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$102.33
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$165.96
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$74.13
Typical High
$128.82

Where Virginia 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.

Virginia· 27th of 51

$60.26

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.