go back

Sacral Nerve Stimulation Test Lead

Texas rates for HCPCS A4290

Sacral nerve stimulation test lead, each

Rates data updated July 2026.

Facilitymedian $58 · 10th–90th $58$1170%50%90th$58Professionalmedian $58 · 10th–90th $58$850%50%90th$58$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.72
Typical High
$12.88
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$660.69
Typical High
$660.69
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$125.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$489.78
Typical High
$512.86
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$125.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$79.43
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$104.71
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$380.19
Typical High
$512.86