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Permanent Pacemaker With an Upper-Chamber Lead

South 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?

$4,872

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

Insurers have agreed to pay about $4,872 for this procedure. That total is two separate charges: $891 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$891$676 to $1,096
Facility feeThe hospital or surgery center$3,981$776 to $6,607

How much rates vary

Facilitymedian $3,981 · 10th to 90th $617 to $11,749Professionalmedian $891 · 10th to 90th $468 to $1,230
$500$1K$2K$5K$10Kfacility $3,981professional $891

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
$4,365.16
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$501.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$11,220.18
Typical High
$12,022.64
Cigna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,000.00
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$1,202.26
Typical High
$4,786.30
Medica
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$1,174.90
Typical High
$6,606.93
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,023.29
Typical High
$1,023.29
Midlands
Setting
Facility
Modifier
None
Typical Low
$9,772.37
Median
$11,748.98
Typical High
$12,589.25
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$758.58
Typical High
$870.96
United
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,786.30
United
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$933.25
Typical High
$1,230.27
Wellmark
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$1,023.29
Typical High
$1,023.29

Where South 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

South Dakota· 43rd of 51

$4,872

$891 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.