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Permanent Pacemaker With an Upper-Chamber Lead

California 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?

$8,511

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $8,511 for this service. Most negotiated rates run $5,248 to $12,303.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8,913 · 10th to 90th $4,571 to $18,621Professionalmedian $513 · 10th to 90th $372 to $1,175
$100$500$2K$10Kfacility $8,913professional $513

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
$4,365.16
Median
$10,715.19
Typical High
$25,703.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,943.28
Typical High
$16,982.44
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$13,182.57
Typical High
$28,183.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$12,022.64
Typical High
$25,703.96
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$741.31
Typical High
$10,000.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$1,122.02
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$15,848.93
Typical High
$40,738.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$17,378.01
Typical High
$38,904.51

Where California sits

The same service costs 70.8 times more in Indiana than in West Virginia. 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.

California· 16th of 51

$8,511

IN $33,113WV $468

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.