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Keyhole Placement of Heart Surface Pacing Wires

Washington, DC 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 October 2026.

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

$1,000

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $1,000 for this service. Most negotiated rates run $851 to $1,738.

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.

How much rates vary

Facilitymedian $1,413 · 10th to 90th $427 to $6,310Professionalmedian $977 · 10th to 90th $759 to $2,239
$500$1K$2K$5K$10Kfacility $1,413professional $977

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,000.00
Median
$1,698.24
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,000.00
Typical High
$1,000.00
CareFirst
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,047.13
Typical High
$2,137.96
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,819.70
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$1,412.54
Typical High
$6,309.57
United
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,174.90
Typical High
$2,511.89

Where Washington, DC sits

The same service costs 4.9 times more in Alaska than in Texas. 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.

Washington, DC· 37th of 51

$1,000

AK $3,236TX $661

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.