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Checking A Stomach Nerve Stimulator Without Adjustment

Ohio 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?

$26.92

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $48.98 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$26.30$17.38 to $36.31
FacilityA hospital or hospital-owned outpatient department$48.98$32.36 to $66.07

How much rates vary

Facilitymedian $49 · 10th to 90th $19 to $100Professionalmedian $26 · 10th to 90th $16 to $47
$20$50$100facility $49professional $26

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
$19.05
Median
$48.98
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$25.70
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$26.30
Typical High
$50.12
CareSource
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.98
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$33.88
Typical High
$69.18
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$33.11
Typical High
$61.66
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$38.02
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$93.33
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$30.20
Typical High
$54.95

Where Ohio 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.

Ohio· 41st of 51

$26.92

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.