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Pacemaker Upgrade To A Two-Wire System

New York 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?

$7,586

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $7,586 for this service. Most negotiated rates run $3,981 to $12,882.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,586 · 10th to 90th $851 to $26,303
$1K$2K$5K$10K$20K$50Kfacility $7,586

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
$645.65
Median
$5,128.61
Typical High
$14,125.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,964.78
Typical High
$61,659.50
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$28,840.32
Typical High
$33,884.42
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$977.24
Typical High
$1,737.80
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$12,022.64
Typical High
$36,307.81
Univera
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$851.14
Typical High
$2,454.71

Where New York 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.

New York· 19th of 50

$7,586

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.