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Checking A Stomach Nerve Stimulator Without Adjustment

Pennsylvania 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?

$25.70

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $41.69 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 9 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$25.70$17.38 to $36.31
FacilityA hospital or hospital-owned outpatient department$41.69$19.05 to $75.86

How much rates vary

Facilitymedian $42 · 10th to 90th $19 to $174Professionalmedian $26 · 10th to 90th $16 to $43
$100$1K$10Kfacility $42professional $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
$35.48
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$25.12
Typical High
$41.69
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$39.81
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$131.83
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$31.62
Typical High
$61.66
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$91.20
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$45.71
Typical High
$91.20
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$41.69
Typical High
$1,862.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$28.18
Typical High
$42.66
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$29.51
Typical High
$29.51
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$17.38
Typical High
$37.15
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$17.78
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$141.25
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$30.90
Typical High
$60.26

Where Pennsylvania 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.

Pennsylvania· 44th of 51

$25.70

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.