go back

Pacemaker Upgrade To A Two-Wire System

Massachusetts 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?

$4,571

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $4,571 for this service. Most negotiated rates run $3,090 to $6,166.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,571 · 10th to 90th $589 to $15,488
$500$1K$2K$5K$10K$20K$50Kfacility $4,571

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
$2,691.53
Median
$4,265.80
Typical High
$8,317.64
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$11,748.98
Typical High
$38,904.51
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$3,630.78
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$48,977.88
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$11,748.98
Typical High
$38,904.51
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$7,943.28
Typical High
$38,904.51

Where Massachusetts 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.

Massachusetts· 35th of 50

$4,571

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.