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Complex Reprogramming Of An Implanted Nerve Stimulator

West 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?

$63.10

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $245 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 5 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$63.10$48.98 to $74.13
FacilityA hospital or hospital-owned outpatient department$245$60.26 to $631

How much rates vary

Facilitymedian $245 · 10th to 90th $41 to $631Professionalmedian $63 · 10th to 90th $39 to $100
$50$100$200$500facility $245professional $63

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
$40.74
Median
$245.47
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$60.26
Typical High
$87.10
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$50.12
Typical High
$112.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$100.00
Typical High
$389.05
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$83.18
Typical High
$138.04

Where West 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.

West Virginia· 24th of 51

$63.10

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.