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Keyhole Placement of Heart Surface Pacing Wires

Alabama 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?

$5,161

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

Insurers have agreed to pay about $5,161 for this procedure. That total is two separate charges: $1,445 to the doctor who performs it, and $3,715 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,445$912 to $1,445
Facility feeThe hospital or surgery center$3,715$1,259 to $13,183

How much rates vary

Facilitymedian $3,715 · 10th to 90th $813 to $16,218Professionalmedian $1,445 · 10th to 90th $776 to $1,778
$500$1K$2K$5K$10K$20Kfacility $3,715professional $1,445

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
$954.99
Median
$1,258.93
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,445.44
Typical High
$1,778.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$13,803.84
Typical High
$18,197.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,819.70
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,348.96

Where Alabama 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

Alabama· 25th of 49

$5,161

$1,445 physician + $3,715 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.