go back

Wireless Left Ventricle Pacing Implant

North Carolina rates for HCPCS 0516T

Implants part of a wireless pacing system for the left lower chamber of the heart. A small receiver sits in the heart wall and is powered by a separate unit under the skin, so no wire has to run into that chamber; the system is used to get the two sides of the heart beating in step in people with heart failure.

Rates data updated July 2026.

Facilitymedian $7,586 · 10th–90th $398$21,3800%10%10th90th$7,586Professionalmedian $398 · 10th–90th $372$9330%20%10th90th$398$200.0$1.0K$5.0K$20.0K

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
$398.11
Median
$7,585.78
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$707.95
Typical High
$1,000.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$407.38
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$20,417.38
Typical High
$33,113.11
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$851.14
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$42,657.95
Typical High
$42,657.95
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,715.35
Typical High
$3,715.35