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Implanting A Defibrillator With Leads Via A Vein

South 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?

$8,539

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

Insurers have agreed to pay about $8,539 for this procedure. That total is two separate charges: $1,778 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,778$1,288 to $2,042
Facility feeThe hospital or surgery center$6,761$1,549 to $8,710

How much rates vary

Facilitymedian $6,761 · 10th to 90th $1,230 to $43,652Professionalmedian $1,778 · 10th to 90th $912 to $2,455
$1K$2K$5K$10K$20K$50Kfacility $6,761professional $1,778

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
$891.25
Median
$4,365.16
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$870.96
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$38,018.94
Typical High
$46,773.51
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,995.26
Typical High
$2,454.71
Medica
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$2,344.23
Typical High
$8,128.31
Medica
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$2,398.83
Typical High
$26,302.68
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,041.74
Typical High
$2,041.74
Midlands
Setting
Facility
Modifier
None
Typical Low
$33,113.11
Median
$40,738.03
Typical High
$46,773.51
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,513.56
Typical High
$1,778.28
United
Setting
Facility
Modifier
None
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$8,128.31
United
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,862.09
Typical High
$2,454.71
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$2,041.74
Typical High
$2,041.74

Where South 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

South Dakota· 43rd of 51

$8,539

$1,778 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.