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Permanent Pacemaker With an Upper-Chamber Lead

Oklahoma 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?

$21,968

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

Insurers have agreed to pay about $21,968 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $21,380 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$589$490 to $759
Facility feeThe hospital or surgery center$21,380$6,166 to $32,359

How much rates vary

Facilitymedian $21,380 · 10th to 90th $1,122 to $42,658Professionalmedian $589 · 10th to 90th $407 to $6,607
$200$1K$5K$20Kfacility $21,380professional $589

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
$1,380.38
Median
$5,754.40
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$575.44
Typical High
$6,606.93
BCBS Oklahoma
Setting
Facility
Modifier
None
Typical Low
$19,498.45
Median
$32,359.37
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$8,128.31
Typical High
$11,481.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$691.83
Typical High
$741.31
Medica
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$4,570.88
Typical High
$26,915.35
Medica
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$602.56
Typical High
$6,606.93
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$14,125.38
Typical High
$28,840.32
United
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$524.81
Typical High
$776.25

Where Oklahoma 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

Oklahoma· 1st of 51

$21,968

$589 physician + $21,380 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.