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Keyhole Placement of Heart Surface Pacing Wires

Minnesota 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?

$3,247

Typical total for the visit. In Minnesota, October 2026.

Insurers have agreed to pay about $3,247 for this procedure. That total is two separate charges: $1,698 to the doctor who performs it, and $1,549 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$1,698$1,380 to $2,344
Facility feeThe hospital or surgery center$1,549$1,023 to $3,020

How much rates vary

Facilitymedian $1,549 · 10th to 90th $851 to $6,166Professionalmedian $1,698 · 10th to 90th $1,023 to $3,090
$1K$2K$5K$10Kfacility $1,549professional $1,698

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Facility
Modifier
78 · Unplanned return to OR
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$630.96
Median
$630.96
Typical High
$758.58
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$588.84
Median
$588.84
Typical High
$707.95
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$4,168.69
Median
$6,606.93
Typical High
$12,022.64
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,698.24
Typical High
$2,754.23
BCBS Minnesota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$1,047.13
Median
$1,348.96
Typical High
$2,238.72
BCBS Minnesota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$263.03
Median
$338.84
Typical High
$537.03
BCBS Minnesota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,096.48
Median
$1,445.44
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,905.46
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$2,137.96
Typical High
$3,311.31
Health Partners
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,778.28
Typical High
$3,090.30
Health Partners
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,862.09
Typical High
$3,019.95
Medica
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,412.54
Typical High
$3,467.37
Medica
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,584.89
Typical High
$3,235.94
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,513.56
Typical High
$3,630.78
United
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,584.89
Typical High
$3,311.31

Where Minnesota sits

The same service costs 10.7 times more in Colorado 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

Minnesota· 18th of 51

$3,247

$1,698 physician + $1,549 facility

CO $15,603MD $1,454

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.