go back

Permanent Pacemaker With an Upper-Chamber Lead

Vermont 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?

$3,608

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

Insurers have agreed to pay about $3,608 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $2,884 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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$724$575 to $832
Facility feeThe hospital or surgery center$2,884$2,884 to $16,218

How much rates vary

Facilitymedian $2,884 · 10th to 90th $468 to $17,378Professionalmedian $724 · 10th to 90th $501 to $1,096
$200$500$1K$2K$5K$10Kfacility $2,884professional $724

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
Professional
Modifier
None
Typical Low
$501.19
Median
$575.44
Typical High
$575.44
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$17,378.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$16,218.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$741.31
Typical High
$831.76
United
Setting
Facility
Modifier
None
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
United
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$794.33
Typical High
$1,905.46

Where Vermont 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

Vermont· 46th of 51

$3,608

$724 physician + $2,884 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.