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Pacemaker Upgrade To A Two-Wire System

Iowa 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?

$6,761

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $6,761 for this service. Most negotiated rates run $1,380 to $11,482.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,586 · 10th to 90th $1,072 to $22,909Professionalmedian $1,096 · 10th to 90th $457 to $1,380
$200$500$1K$2K$5K$10K$20Kfacility $7,586professional $1,096

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
$1,819.70
Median
$6,918.31
Typical High
$11,481.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$741.31
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$14,454.40
Typical High
$31,622.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,174.90
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$21,379.62
Typical High
$27,542.29

Where Iowa 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.

Iowa· 28th of 50

$6,761

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.