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Permanent Pacemaker With an Upper-Chamber Lead

Texas 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 July 2026.

How much does Permanent Pacemaker With an Upper-Chamber Lead cost?

$6,457

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $6,457 for this service. Most negotiated rates run $2,570 to $15,136.

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.

How much rates vary

Facilitymedian $6,457 · 10th to 90th $977 to $20,893
$100$500$2K$10K$50Kfacility $6,457

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$4,168.69
Typical High
$16,218.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$16,595.87
Typical High
$32,359.37
Christus
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$12,022.64
Typical High
$12,022.64
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$15,848.93
Typical High
$40,738.03
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$1,288.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$10,232.93
Typical High
$41,686.94

Where Texas sits

The same service costs 70.8 times more in Indiana than in West Virginia. 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.

Texas· 32nd of 51

$6,457

IN $33,113WV $468

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.