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Pacemaker Upgrade To A Two-Wire System

Alaska 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?

$1,549

Typical facility fee. In Alaska, July 2026.

Insurers have agreed to pay about $1,549 for this service. Most negotiated rates run $603 to $3,802.

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.

How much rates vary

Facilitymedian $1,549 · 10th to 90th $537 to $16,982
$500$1K$2K$5K$10K$20Kfacility $1,549

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
$1,548.82
Median
$12,022.64
Typical High
$20,892.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$691.83
Typical High
$3,715.35
Providence
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$691.83
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62

Where Alaska sits

The same service costs 89.1 times more in West Virginia than in North Dakota. 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.

Alaska· 45th of 50

$1,549

WV $44,668ND $501

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.