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Keyhole Placement of Heart Surface Pacing Wires

Tennessee 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?

$3,634

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

Insurers have agreed to pay about $3,634 for this procedure. That total is two separate charges: $1,122 to the doctor who performs it, and $2,512 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,122$912 to $1,445
Facility feeThe hospital or surgery center$2,512$1,905 to $4,074

How much rates vary

Facilitymedian $2,512 · 10th to 90th $1,230 to $7,586Professionalmedian $1,122 · 10th to 90th $776 to $2,188
$100$200$500$1K$2K$5K$10Kfacility $2,512professional $1,122

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
$1,698.24
Median
$2,818.38
Typical High
$15,848.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,398.83
Typical High
$4,365.16
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,174.90
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$14,791.08
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,148.15
Typical High
$1,737.80
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$4,897.79
Typical High
$4,897.79
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,344.23
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,202.26
Typical High
$1,905.46

Where Tennessee 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

Tennessee· 33rd of 49

$3,634

$1,122 physician + $2,512 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.