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Keyhole Placement of Heart Surface Pacing Wires

Nebraska 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?

$9,957

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

Insurers have agreed to pay about $9,957 for this procedure. That total is two separate charges: $1,445 to the doctor who performs it, and $8,511 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$1,445$741 to $1,738
Facility feeThe hospital or surgery center$8,511$6,918 to $13,804

How much rates vary

Facilitymedian $8,511 · 10th to 90th $1,349 to $19,055Professionalmedian $1,445 · 10th to 90th $708 to $4,169
$1K$2K$5K$10K$20Kfacility $8,511professional $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
$6,025.60
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,513.56
Typical High
$4,168.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$16,595.87
Typical High
$32,359.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,148.15
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,737.80
Typical High
$2,344.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,659.59
Typical High
$14,791.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,445.44
Typical High
$2,137.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,819.70
Typical High
$2,454.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,388.44
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,584.89
Typical High
$2,137.96

Where Nebraska 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

Nebraska· 6th of 49

$9,957

$1,445 physician + $8,511 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.