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Implanting A Defibrillator With Leads Via A Vein

Nationwide rates for HCPCS 33249

Puts in, or replaces, an implantable defibrillator — a device that watches the heart rhythm and delivers pacing or a shock if a dangerous fast rhythm starts. One or two leads are threaded through a vein under the collarbone into the heart and connected to a generator placed in a pocket under the skin. It covers both a first implant and a full system replacement.

Rates data updated July 2026.

How much does Implanting A Defibrillator With Leads Via A Vein cost?

$11,852

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $11,852 for this procedure. That total is two separate charges: $1,380 to the doctor who performs it, and $10,471 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 59 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,380$955 to $1,950
Facility feeThe hospital or surgery center$10,471$4,571 to $24,547

How much rates vary

Facilitymedian $10,471 · 10th to 90th $1,514 to $53,703Professionalmedian $1,380 · 10th to 90th $813 to $3,020
$0.1$10.0$1.0K$100.0K$10.0Mfacility $10,471professional $1,380

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
$1,258.93
Median
$8,511.38
Typical High
$44,668.36
Aetna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$12,882.50
Typical High
$39,810.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$17,782.79
Typical High
$95,499.26
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$27,542.29
Typical High
$85,113.80

What it costs in each state

The same service costs 12.7 times more in South Dakota than in Oregon. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee
SD $51,704OR $4,058

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.