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Implanting A Defibrillator With Leads Via A Vein

Nebraska 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?

$20,526

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

Insurers have agreed to pay about $20,526 for this procedure. That total is two separate charges: $1,905 to the doctor who performs it, and $18,621 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,905$1,514 to $2,188
Facility feeThe hospital or surgery center$18,621$4,786 to $44,668

How much rates vary

Facilitymedian $18,621 · 10th to 90th $1,905 to $53,703Professionalmedian $1,905 · 10th to 90th $1,096 to $26,303
$1K$2K$5K$10K$20K$50K$100Kfacility $18,621professional $1,905

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$8,511.38
Typical High
$29,512.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,445.44
Typical High
$2,187.76
Ambetter
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,445.44
Typical High
$1,778.28
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$34,673.69
Median
$46,773.51
Typical High
$95,499.26
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$36,307.81
Median
$38,904.51
Typical High
$40,738.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$37,153.52
Median
$44,668.36
Typical High
$54,954.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,995.26
Typical High
$2,754.23
Medica
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$8,128.31
Typical High
$61,659.50
Medica
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,819.70
Typical High
$26,302.68
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,995.26
Typical High
$2,754.23
Midlands
Setting
Facility
Modifier
None
Typical Low
$37,153.52
Median
$44,668.36
Typical High
$60,255.96
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,737.80
Typical High
$1,905.46
United
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$7,585.78
Typical High
$38,904.51
United
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,819.70
Typical High
$2,511.89

Where Nebraska 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

Nebraska· 24th of 51

$20,526

$1,905 physician + $18,621 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.