Permanent Pacemaker With an Upper-Chamber Lead

Nationwide rates for HCPCS 33206

Implants a permanent pacemaker under the skin near the collarbone and threads its pacing wire through a vein into the upper chamber of the heart. Pacing the upper chamber keeps the heart rate from dropping too low when the heart's own natural pacemaker is unreliable. Both placing a new system and replacing an existing one are covered.

Rates data updated July 2026.

How much does Permanent Pacemaker With an Upper-Chamber Lead cost?

$8,853

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $8,853 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $8,128 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

8% physician fee92% facility fee

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 54 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$724	$501 to $977
Facility feeThe hospital or surgery center	The hospital or surgery center	$8,128	$3,981 to $14,791

How much rates vary

Facilitymedian $8,128 · 10th to 90th $1,122 to $26,915Professionalmedian $724 · 10th to 90th $407 to $1,698

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $933.25 Median $6,025.60 Typical High $17,378.01	Facility	Global	$933.25	$6,025.60	$17,378.01
BCBS Setting Facility Modifier Global Typical Low $4,570.88 Median $9,549.93 Typical High $30,199.52	Facility	Global	$4,570.88	$9,549.93	$30,199.52
Cigna Setting Facility Modifier Global Typical Low $977.24 Median $12,589.25 Typical High $33,884.42	Facility	Global	$977.24	$12,589.25	$33,884.42
Cigna Setting Facility Modifier 22 · Increased work Typical Low $851.14 Median $851.14 Typical High $851.14	Facility	22 · Increased work	$851.14	$851.14	$851.14
United Setting Facility Modifier Global Typical Low $3,801.89 Median $12,589.25 Typical High $37,153.52	Facility	Global	$3,801.89	$12,589.25	$37,153.52

What it costs in each state

The same service costs 13.6 times more in Colorado than in Oregon. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

CO $24,525OR $1,803

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.