go back

Complex Reprogramming Of An Implanted Nerve Stimulator

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $58.88 to $107.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $174 · 10th to 90th $85 to $708Professionalmedian $79 · 10th to 90th $51 to $117
$50$100$200$500facility $174professional $79

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$177.83
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$83.18
Typical High
$158.49
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$151.36
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$97.72
Typical High
$151.36

Where Vermont 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.

Vermont· 6th 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.