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Defibrillator Generator Change, Wires In Place

Michigan rates for HCPCS 33230

Placement of the pulse generator of an implantable defibrillator — the sealed battery-and-computer unit that sits under the skin below the collarbone — when the wires running to the heart are already in place and are being kept. The pocket is opened, the new unit is connected to the existing wires and tested, and the pocket is closed. It is most often done when the battery in a previous unit is running low.

Rates data updated July 2026.

How much does Defibrillator Generator Change, Wires In Place cost?

$5,411

Typical total for the visit. In Michigan, July 2026.

Insurers have agreed to pay about $5,411 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $4,898 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$513$417 to $525
Facility feeThe hospital or surgery center$4,898$4,074 to $5,754

How much rates vary

Facilitymedian $4,898 · 10th to 90th $575 to $25,704Professionalmedian $513 · 10th to 90th $372 to $537
$500$1K$2K$5K$10K$20K$50Kfacility $4,898professional $513

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
$512.86
Median
$4,897.79
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$524.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$512.86
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$524.81
Typical High
$616.60
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$4,073.80
Typical High
$5,754.40
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$28,183.83
Typical High
$63,095.73
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$549.54
Typical High
$724.44

Where Michigan sits

The same service costs 55.4 times more in Maine than in West Virginia. 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

Michigan· 29th of 50

$5,411

$513 physician + $4,898 facility

ME $46,222WV $835

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.