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Permanent Pacemaker With an Upper-Chamber Lead

Missouri 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?

$7,244

Typical facility fee. In Missouri, July 2026.

Insurers have agreed to pay about $7,244 for this service. Most negotiated rates run $4,266 to $13,183.

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 $7,244 · 10th to 90th $2,138 to $26,303
$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $7,244

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
$1,778.28
Median
$5,623.41
Typical High
$26,302.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$8,709.64
Typical High
$23,442.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$28,840.32
Typical High
$54,954.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$4,786.30
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$6,606.93
Typical High
$21,379.62

Where Missouri sits

The same service costs 70.8 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Missouri $7,244 · 24th of 51
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.