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Permanent Pacemaker With an Upper-Chamber Lead

Wyoming 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?

$12,656

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

Insurers have agreed to pay about $12,656 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $11,482 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$1,175$1,023 to $1,413
Facility feeThe hospital or surgery center$11,482$11,482 to $17,378

How much rates vary

Facilitymedian $11,482 · 10th to 90th $8,511 to $18,197Professionalmedian $1,175 · 10th to 90th $759 to $1,413
$500$1K$2K$5K$10K$20Kfacility $11,482professional $1,175

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
$457.09
Median
$457.09
Typical High
$457.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,174.90
Typical High
$1,412.54
BCBS Wyoming
Setting
Professional
Modifier
62 · Two surgeons
Typical Low
$616.60
Median
$691.83
Typical High
$831.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$17,378.01
Typical High
$24,547.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$758.58
Typical High
$1,071.52
United
Setting
Facility
Modifier
None
Typical Low
$6,760.83
Median
$8,511.38
Typical High
$26,915.35
United
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$870.96
Typical High
$1,819.70

Where Wyoming 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

Wyoming· 9th of 51

$12,656

$1,175 physician + $11,482 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.