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Pacemaker Upgrade To A Two-Wire System

Nationwide rates for HCPCS 33214

An existing single-wire pacemaker is converted to a two-wire system so the upper and lower chambers of the heart beat in a coordinated way. The old pulse generator is removed, the existing wire is tested, a new wire is placed in the other chamber, and a new generator is connected. It is done through the original pocket under the skin below the collarbone.

Rates data updated July 2026.

How much does Pacemaker Upgrade To A Two-Wire System cost?

$8,853

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $8,853 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $8,128 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 54 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$724$513 to $1,023
Facility feeThe hospital or surgery center$8,128$4,074 to $15,136

How much rates vary

Facilitymedian $8,128 · 10th to 90th $1,202 to $27,542Professionalmedian $724 · 10th to 90th $417 to $1,514
$200$1K$5K$20Kfacility $8,128professional $724

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
$6,025.60
Typical High
$17,378.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$9,549.93
Typical High
$30,199.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$12,589.25
Typical High
$33,884.42
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$14,125.38
Typical High
$39,810.72

What it costs in each state

The same service costs 12.6 times more in Colorado than in Oregon. 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

Touch or drag across the chart to see any state's rate.

CO $24,085OR $1,910

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.