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Permanent Pacemaker With an Upper-Chamber Lead

Delaware 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?

$6,032

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

Insurers have agreed to pay about $6,032 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $5,495 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$537$457 to $550
Facility feeThe hospital or surgery center$5,495$3,467 to $9,772

How much rates vary

Facilitymedian $5,495 · 10th to 90th $708 to $13,183Professionalmedian $537 · 10th to 90th $457 to $661
$200$500$1K$2K$5K$10Kfacility $5,495professional $537

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
$549.54
Median
$7,244.36
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$549.54
Typical High
$549.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$9,120.11
Typical High
$14,454.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$457.09
Typical High
$1,412.54
United
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$5,128.61
Typical High
$10,000.00
United
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$501.19
Typical High
$1,071.52

Where Delaware 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

Delaware· 41st of 51

$6,032

$537 physician + $5,495 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.