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?
$832
Typical facility fee. In South Dakota, July 2026.
Insurers have agreed to pay about $832 for this service. Most negotiated rates run $676 to $912.
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 $1,288 · 10th to 90th $603 to $7,079Professionalmedian $813 · 10th to 90th $603 to $955
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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$4,365.16
Typical High
$6,918.31
Facility
Global
$467.74
$4,365.16
$6,918.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$776.25
Typical High
$1,288.25
Facility
Global
$660.69
$776.25
$1,288.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,071.52
Typical High
$1,071.52
Professional
Global
$1,023.29
$1,071.52
$1,071.52
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$812.83
Typical High
$912.01
Professional
Global
$602.56
$812.83
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$21,379.62
Facility
Global
$7,079.46
$7,079.46
$21,379.62
Where South Dakota 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.