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Permanent Pacemaker With an Upper-Chamber Lead

North Dakota 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?

$4,813

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $4,813 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $3,981 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$832$708 to $977
Facility feeThe hospital or surgery center$3,981$447 to $7,943

How much rates vary

Facilitymedian $3,981 · 10th to 90th $447 to $8,710Professionalmedian $832 · 10th to 90th $479 to $1,072
$500$1K$2K$5K$10Kfacility $3,981professional $832

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
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$446.68
Typical High
$501.19
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$891.25
Typical High
$1,096.48
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,318.26
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$489.78
Median
$616.60
Typical High
$758.58
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$70.79
Median
$89.13
Typical High
$109.65
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$524.81
Median
$660.69
Typical High
$812.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$851.14
Cigna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$933.25
Typical High
$1,318.26
Medica
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$3,981.07
Typical High
$12,302.69
Medica
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$831.76
Typical High
$954.99
United
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$7,943.28
Typical High
$12,302.69
United
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$831.76
Typical High
$1,000.00

Where North Dakota 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

North Dakota· 44th of 51

$4,813

$832 physician + $3,981 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.