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Pacemaker Upgrade To A Two-Wire System

Texas 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?

$6,457

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $6,457 for this service. Most negotiated rates run $2,570 to $15,136.

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 $6,457 · 10th to 90th $1,000 to $20,417
$500$1K$2K$5K$10K$20K$50Kfacility $6,457

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
$1,000.00
Median
$4,168.69
Typical High
$15,135.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$16,982.44
Typical High
$32,359.37
Christus
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$13,803.84
Typical High
$13,803.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$15,848.93
Typical High
$42,657.95
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$1,348.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$12,302.69
Typical High
$41,686.94

Where Texas 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.

Texas· 31st of 50

$6,457

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.