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Permanent Pacemaker With an Upper-Chamber Lead

Nebraska 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?

$11,920

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

Insurers have agreed to pay about $11,920 for this procedure. That total is two separate charges: $955 to the doctor who performs it, and $10,965 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$955$776 to $1,230
Facility feeThe hospital or surgery center$10,965$3,981 to $14,454

How much rates vary

Facilitymedian $10,965 · 10th to 90th $2,042 to $18,621Professionalmedian $955 · 10th to 90th $550 to $6,607
$500$1K$2K$5K$10K$20Kfacility $10,965professional $955

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$9,549.93
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$2,187.76
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$13,182.57
Median
$17,378.01
Typical High
$35,481.34
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$10,715.19
Median
$11,481.54
Typical High
$12,022.64
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$12,882.50
Typical High
$15,848.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$1,000.00
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$3,981.07
Typical High
$17,378.01
Medica
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$912.01
Typical High
$6,606.93
Midlands
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,348.96
Midlands
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$12,882.50
Typical High
$17,378.01
Midlands
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$870.96
Typical High
$954.99
United
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$3,981.07
Typical High
$13,489.63
United
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$912.01
Typical High
$1,258.93

Where Nebraska 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

Nebraska· 13th of 51

$11,920

$955 physician + $10,965 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.