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Pacemaker Upgrade To A Two-Wire System

California 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?

$8,511

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $8,511 for this service. Most negotiated rates run $5,248 to $12,303.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8,913 · 10th to 90th $4,571 to $18,621Professionalmedian $501 · 10th to 90th $398 to $977
$100$500$2K$10Kfacility $8,913professional $501

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
$4,897.79
Median
$10,715.19
Typical High
$25,703.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,943.28
Typical High
$16,982.44
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$13,489.63
Typical High
$28,183.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$12,022.64
Typical High
$25,703.96
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$10,471.29
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$512.86
Typical High
$977.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$15,848.93
Typical High
$42,657.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$19,498.45
Typical High
$42,657.95

Where California 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.

California· 16th of 50

$8,511

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.