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Permanent Pacemaker With an Upper-Chamber Lead

Hawaii 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?

$550

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $550 for this service. Most negotiated rates run $479 to $603.

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.

How much rates vary

Facilitymedian $8,511 · 10th to 90th $2,818 to $19,055Professionalmedian $550 · 10th to 90th $76 to $603
$50$200$1K$5Kfacility $8,511professional $550

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
$2,818.38
Median
$8,511.38
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$549.54
Typical High
$616.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$478.63
Typical High
$776.25
United
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$3,981.07
Typical High
$19,054.61
United
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$660.69
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$562.34
Typical High
$602.56

Where Hawaii sits

The same service costs 16.6 times more in Oklahoma than in Ohio. 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.

Hawaii· 48th of 51

$550

OK $8,128OH $490

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.