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Keyhole Placement of Heart Surface Pacing Wires

Alaska rates for HCPCS 33203

Placement of pacing wires directly onto the outer surface of the heart, done with a camera and slim instruments passed through small incisions between the ribs rather than by opening the chest. The wires are then connected to a pacemaker or defibrillator unit. This route is used when wires cannot be threaded to the heart through a vein.

Rates data updated July 2026.

How much does Keyhole Placement of Heart Surface Pacing Wires cost?

$5,283

Typical total for the visit. In Alaska, July 2026.

Insurers have agreed to pay about $5,283 for this procedure. That total is two separate charges: $2,884 to the doctor who performs it, and $2,399 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,884$1,230 to $4,467
Facility feeThe hospital or surgery center$2,399$1,023 to $6,166

How much rates vary

Facilitymedian $2,399 · 10th to 90th $955 to $12,023Professionalmedian $2,884 · 10th to 90th $1,000 to $5,248
$100$200$500$1K$2K$5K$10Kfacility $2,399professional $2,884

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$9,772.37
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,995.26
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,230.27
Typical High
$2,691.53
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$6,165.95
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,884.03
Typical High
$6,456.54
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$4,466.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$6,165.95
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$776.25
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,230.27
Typical High
$5,011.87

Where Alaska sits

The same service costs 22.5 times more in Indiana than in Maryland. 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.

Physician feeFacility fee

Alaska· 24th of 49

$5,283

$2,884 physician + $2,399 facility

IN $36,393MD $1,616

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.