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Permanent Pacemaker With an Upper-Chamber Lead

Iowa 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?

$9,106

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

Insurers have agreed to pay about $9,106 for this procedure. That total is two separate charges: $977 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.

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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$977$692 to $1,202
Facility feeThe hospital or surgery center$8,128$2,570 to $14,125

How much rates vary

Facilitymedian $8,128 · 10th to 90th $1,000 to $21,878Professionalmedian $977 · 10th to 90th $490 to $1,413
$500$1K$2K$5K$10K$20Kfacility $8,128professional $977

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$6,760.83
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$12,882.50
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,096.48
Typical High
$1,230.27
Hally Health
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$724.44
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$6,165.95
Typical High
$23,442.29
Medica
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$1,023.29
Typical High
$2,137.96
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,096.48
Typical High
$1,230.27
Midlands
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$12,882.50
Typical High
$16,982.44
Midlands
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$1,412.54
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$794.33
Typical High
$1,000.00
United
Setting
Facility
Modifier
None
Typical Low
$2,290.87
Median
$10,232.93
Typical High
$27,542.29
United
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$831.76
Typical High
$1,412.54
Wellmark
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$831.76
Typical High
$977.24

Where Iowa 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

Iowa· 25th of 51

$9,106

$977 physician + $8,128 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.