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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 July 2026.

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

$6,761

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $6,761 for this service. Most negotiated rates run $1,549 to $11,482.

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 $7,586 · 10th to 90th $1,023 to $21,380Professionalmedian $1,023 · 10th to 90th $437 to $1,622
$200$500$1K$2K$5K$10K$20Kfacility $7,586professional $1,023

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
$1,819.70
Median
$6,918.31
Typical High
$11,481.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$724.44
Typical High
$1,737.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$13,182.57
Typical High
$31,622.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,071.52
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$19,498.45
Typical High
$27,542.29

Where Iowa 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.

Iowa· 29th of 51

$6,761

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.