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Implanting A Defibrillator With Leads Via A Vein

North Dakota 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?

$8,420

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $8,420 for this procedure. That total is two separate charges: $1,660 to the doctor who performs it, and $6,761 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$1,660$1,413 to $1,905
Facility feeThe hospital or surgery center$6,761$891 to $10,233

How much rates vary

Facilitymedian $6,761 · 10th to 90th $891 to $33,113Professionalmedian $1,660 · 10th to 90th $955 to $2,138
$1K$2K$5K$10K$20K$50Kfacility $6,761professional $1,660

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
$891.25
Median
$891.25
Typical High
$40,738.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$912.01
Typical High
$1,202.26
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,737.80
Typical High
$2,137.96
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,698.24
Median
$2,089.30
Typical High
$2,570.40
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$977.24
Median
$1,230.27
Typical High
$1,513.56
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$141.25
Median
$173.78
Typical High
$213.80
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,047.13
Median
$1,318.26
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,862.09
Typical High
$2,630.27
Medica
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$6,760.83
Typical High
$33,113.11
Medica
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,698.24
Typical High
$1,949.84
United
Setting
Facility
Modifier
None
Typical Low
$6,760.83
Median
$10,232.93
Typical High
$33,113.11
United
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,698.24
Typical High
$1,995.26

Where North Dakota 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

North Dakota· 44th of 51

$8,420

$1,660 physician + $6,761 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.