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Permanent Pacemaker With an Upper-Chamber Lead

Rhode Island 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?

$6,212

Typical total for the visit. In Rhode Island, October 2026.

Insurers have agreed to pay about $6,212 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $5,623 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$589$513 to $692
Facility feeThe hospital or surgery center$5,623$2,455 to $12,023

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,202 to $21,380Professionalmedian $589 · 10th to 90th $447 to $933
$500$1K$2K$5K$10K$20Kfacility $5,623professional $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
$3,715.35
Median
$3,981.07
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$588.84
Typical High
$588.84
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$588.84
Typical High
$933.25
BCBS Rhode Island
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$295.12
Median
$426.58
Typical High
$776.25
BCBS Rhode Island
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$24.55
Median
$35.48
Typical High
$64.57
BCBS Rhode Island
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$31.62
Median
$45.71
Typical High
$83.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$9,549.93
Typical High
$13,489.63
Cigna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$1,047.13
United
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$5,623.41
Typical High
$22,908.68
United
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$616.60
Typical High
$812.83

Where Rhode Island 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

Rhode Island· 40th of 51

$6,212

$589 physician + $5,623 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.