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Adding a Left-Side Pacing Wire to a Device

Alaska rates for HCPCS 33224

Places an extra pacing wire into a vein on the outer surface of the left side of the heart and attaches it to a pacemaker or defibrillator that is already implanted. The addition lets the device pace both lower chambers together so a weak heart squeezes in a more coordinated way. The pocket under the skin holding the device is reopened, and the generator itself may be replaced at the same time.

Rates data updated October 2026.

How much does Adding a Left-Side Pacing Wire to a Device cost?

$21,096

Typical total for the visit. In Alaska, October 2026.

Insurers have agreed to pay about $21,096 for this procedure. That total is two separate charges: $2,042 to the doctor who performs it, and $19,055 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,042$1,318 to $2,042
Facility feeThe hospital or surgery center$19,055$10,965 to $23,988

How much rates vary

Facilitymedian $19,055 · 10th to 90th $3,890 to $35,481Professionalmedian $2,042 · 10th to 90th $603 to $2,818
$100$1K$10Kfacility $19,055professional $2,042

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$10,964.78
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$2,818.38
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$19,498.45
Typical High
$50,118.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$776.25
Typical High
$1,737.80
Moda Health
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$2,818.38
Typical High
$4,073.80
Moda Health
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$1,412.54
Typical High
$3,388.44
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$15,848.93
Median
$22,908.68
Typical High
$41,686.94
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Providence
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$19,054.61
Typical High
$60,255.96
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$660.69
Typical High
$1,737.80
United
Setting
Facility
Modifier
None
Typical Low
$8,912.51
Median
$19,054.61
Typical High
$19,952.62
United
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$1,380.38
Typical High
$3,162.28

Where Alaska sits

The same service costs 15.0 times more in Oklahoma than in Montana. 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.

Physician feeFacility fee

Alaska· 2nd of 51

$21,096

$2,042 physician + $19,055 facility

OK $22,538MT $1,500

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.