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Pacemaker Upgrade To A Two-Wire System

Washington 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?

$7,079

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $7,079 for this service. Most negotiated rates run $1,072 to $22,909.

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 $7,079 · 10th to 90th $776 to $37,154
$500$1K$2K$5K$10K$20K$50Kfacility $7,079

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
$870.96
Median
$7,079.46
Typical High
$23,442.29
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$33,113.11
Typical High
$58,884.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$18,197.01
Typical High
$18,197.01
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,174.90
Typical High
$47,863.01
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$912.01
Typical High
$977.24
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$31,622.78
Typical High
$57,543.99
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$32,359.37
Typical High
$60,255.96

Where Washington 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.

Washington· 25th of 50

$7,079

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.