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Checking A Stomach Nerve Stimulator Without Adjustment

Virginia 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?

$29.51

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $27.54 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$30.20$18.62 to $38.90
FacilityA hospital or hospital-owned outpatient department$27.54$19.05 to $38.02

How much rates vary

Facilitymedian $28 · 10th to 90th $17 to $58Professionalmedian $30 · 10th to 90th $16 to $54
$20$100$500$2K$10Kfacility $28professional $30

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
$16.98
Median
$19.05
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$23.44
Typical High
$38.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$38.02
Typical High
$70.79
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$20.42
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$69.18
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$34.67
Typical High
$64.57
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$50.12
Typical High
$63.10
Medcost
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$37.15
Typical High
$43.65
Medcost
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$33.88
Typical High
$60.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Sentara
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$66.07
Sentara
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$43.65
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$102.33
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$30.20
Typical High
$60.26

Where Virginia 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.

Virginia· 27th of 51

$29.51

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.