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Permanent Pacemaker With an Upper-Chamber Lead

Massachusetts 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?

$4,571

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $4,571 for this service. Most negotiated rates run $3,090 to $6,166.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,571 · 10th to 90th $562 to $15,488
$500$1K$2K$5K$10K$20K$50Kfacility $4,571

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
$2,691.53
Median
$4,265.80
Typical High
$8,317.64
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$11,220.18
Typical High
$38,904.51
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$3,630.78
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$7,244.36
Typical High
$48,977.88
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$11,220.18
Typical High
$38,904.51
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$7,244.36
Typical High
$38,904.51

Where Massachusetts 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.

Massachusetts· 37th of 51

$4,571

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.