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Checking A Stomach Nerve Stimulator Without Adjustment

Illinois rates for HCPCS 95981

This is a follow-up check of an implanted stomach nerve stimulator, a small device used to treat severe, hard-to-control nausea and vomiting caused by a slow-emptying stomach (gastroparesis). The device's settings and battery status are reviewed, but no changes are made to the stimulation program during this visit. It's typically done in a clinic setting using a handheld device that communicates with the implant.

Rates data updated July 2026.

How much does Checking A Stomach Nerve Stimulator Without Adjustment cost?

$28.84

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $51.29 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$28.84$19.05 to $40.74
FacilityA hospital or hospital-owned outpatient department$51.29$28.18 to $85.11

How much rates vary

Facilitymedian $51 · 10th to 90th $20 to $186Professionalmedian $29 · 10th to 90th $16 to $66
$20$50$100$200facility $51professional $29

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
$19.95
Median
$40.74
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$25.70
Typical High
$43.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$40.74
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$169.82
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$34.67
Typical High
$66.07
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$57.54
Typical High
$134.90
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$22.39
Typical High
$52.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$141.25
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$32.36
Typical High
$60.26

Where Illinois sits

The same service costs 1.8 times more in Minnesota than in Hawaii. 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.

Illinois· 29th of 51

$28.84

MN $41.69HI $23.44

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.