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Permanent Pacemaker With an Upper-Chamber Lead

Alaska 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 October 2026.

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

$18,802

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

Insurers have agreed to pay about $18,802 for this procedure. That total is two separate charges: $1,820 to the doctor who performs it, and $16,982 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$1,820$1,202 to $1,820
Facility feeThe hospital or surgery center$16,982$11,220 to $22,387

How much rates vary

Facilitymedian $16,982 · 10th to 90th $3,388 to $33,113Professionalmedian $1,820 · 10th to 90th $550 to $2,512
$100$1K$10Kfacility $16,982professional $1,820

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
$2,344.23
Median
$14,125.38
Typical High
$22,387.21
Aetna
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$2,511.89
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,220.18
Median
$18,620.87
Typical High
$50,118.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$707.95
Typical High
$1,513.56
Moda Health
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$2,511.89
Typical High
$3,548.13
Moda Health
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$1,288.25
Typical High
$3,019.95
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$15,848.93
Median
$21,877.62
Typical High
$33,113.11
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Providence
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$18,197.01
Typical High
$57,543.99
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$630.96
Typical High
$1,513.56
United
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$15,135.61
Typical High
$16,595.87
United
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$1,202.26
Typical High
$2,754.23

Where Alaska sits

The same service costs 16.2 times more in Oklahoma than in Montana. 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

Alaska· 2nd of 51

$18,802

$1,820 physician + $16,982 facility

OK $21,968MT $1,353

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.