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Pacemaker Upgrade To A Two-Wire System

Kentucky 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?

$5,495

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $5,495 for this service. Most negotiated rates run $851 to $10,715.

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 $5,495 · 10th to 90th $631 to $13,804
$500$1K$2K$5K$10K$20Kfacility $5,495

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
$630.96
Median
$1,202.26
Typical High
$13,803.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$10,715.19
Typical High
$11,220.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$588.84
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$741.31
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$16,982.44
Typical High
$34,673.69

Where Kentucky 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.

Kentucky· 34th of 50

$5,495

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.