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Implanting A Defibrillator With Leads Via A Vein

Delaware 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 October 2026.

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

$21,024

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

Insurers have agreed to pay about $21,024 for this procedure. That total is two separate charges: $1,072 to the doctor who performs it, and $19,953 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,072$933 to $1,175
Facility feeThe hospital or surgery center$19,953$7,586 to $33,884

How much rates vary

Facilitymedian $19,953 · 10th to 90th $1,096 to $51,286Professionalmedian $1,072 · 10th to 90th $851 to $2,399
$1K$10K$100Kfacility $19,953professional $1,072

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
$812.83
Median
$2,089.30
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,096.48
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$30,902.95
Typical High
$48,977.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$912.01
Typical High
$2,818.38
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$10,471.29
Median
$69,183.10
Typical High
$169,824.37
United
Setting
Facility
Modifier
None
Typical Low
$7,585.78
Median
$16,982.44
Typical High
$26,302.68
United
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,000.00
Typical High
$2,137.96

Where Delaware sits

The same service costs 19.9 times more in Alaska 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

Delaware· 23rd of 51

$21,024

$1,072 physician + $19,953 facility

AK $53,750MT $2,699

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.