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Permanent Pacemaker With an Upper-Chamber Lead

Virginia 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?

$7,079

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $7,079 for this service. Most negotiated rates run $933 to $15,488.

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.

How much rates vary

Facilitymedian $7,079 · 10th to 90th $525 to $32,359Professionalmedian $562 · 10th to 90th $380 to $724
$500$1K$2K$5K$10K$20K$50Kfacility $7,079professional $562

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. 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
Global
Typical Low
$575.44
Median
$7,079.46
Typical High
$17,378.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$52,480.75
Typical High
$54,954.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$457.09
Typical High
$562.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$724.44
Typical High
$1,071.52
Medcost
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$660.69
Typical High
$977.24
Sentara
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$30,199.52
United
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$26,302.68
Typical High
$61,659.50

Where Virginia 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.

Virginia· 26th of 51

$7,079

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.