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Permanent Pacemaker With an Upper-Chamber Lead

Maine 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?

$3,666

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

Insurers have agreed to pay about $3,666 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $3,020 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$646$513 to $724
Facility feeThe hospital or surgery center$3,020$2,884 to $9,772

How much rates vary

Facilitymedian $3,020 · 10th to 90th $708 to $19,055Professionalmedian $646 · 10th to 90th $437 to $851
$500$1K$2K$5K$10Kfacility $3,020professional $646

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
Professional
Modifier
None
Typical Low
$446.68
Median
$691.83
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$645.65
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
62 · Two surgeons
Typical Low
$251.19
Median
$407.38
Typical High
$537.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$9,772.37
Typical High
$15,135.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$602.56
Typical High
$977.24
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$3,019.95
Typical High
$19,054.61
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$645.65
Typical High
$776.25
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$691.83
Typical High
$776.25
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$3,019.95
Typical High
$19,054.61
United
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$660.69
Typical High
$870.96

Where Maine 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

Maine· 45th of 51

$3,666

$646 physician + $3,020 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.