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Moving The Pocket Of A Heart Device Generator

Tennessee rates for HCPCS 0416T

The pocket of skin and tissue holding an implanted cardiac contractility modulation generator is opened and the generator is moved to a new pocket. This is done when the original site causes trouble, such as pain, thinning skin over the device, or a wound problem. The leads stay in place and are reconnected in the new position.

Rates data updated July 2026.

How much does Moving The Pocket Of A Heart Device Generator cost?

$759

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $2,399 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 5 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$407$324 to $490
FacilityA hospital or hospital-owned outpatient department$2,399$1,738 to $3,388

How much rates vary

Facilitymedian $2,399 · 10th to 90th $1,047 to $4,266Professionalmedian $407 · 10th to 90th $282 to $891
$200$500$1K$2K$5K$10Kfacility $2,399professional $407

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
$758.58
Median
$2,290.87
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$407.38
Typical High
$489.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,951.21
Typical High
$3,981.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$14,791.08
Typical High
$21,379.62
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,951.21
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,187.76
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$660.69
Typical High
$977.24

Where Tennessee sits

The same service costs 21.9 times more in California than in North Dakota. 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.

Tennessee· 22nd of 51

$759

CA $6,457ND $295

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.