Keyhole Heart Rhythm Ablation Without Bypass Support

Nationwide rates for HCPCS 33265

Creates a limited set of scar lines on the heart to block the chaotic electrical signals that cause atrial fibrillation, working through small chest incisions with a camera rather than by opening the chest. The heart keeps beating throughout, so no heart-lung machine is used. It is the more limited version, treating fewer areas of the heart than the full pattern does.

Rates data updated July 2026.

How much does Keyhole Heart Rhythm Ablation Without Bypass Support cost?

$8,595

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $8,595 for this procedure. That total is two separate charges: $2,138 to the doctor who performs it, and $6,457 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

25% physician fee75% facility fee

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 50 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$2,138	$1,514 to $3,020
Facility feeThe hospital or surgery center	The hospital or surgery center	$6,457	$2,884 to $11,482

How much rates vary

Facilitymedian $6,457 · 10th to 90th $1,585 to $16,982Professionalmedian $2,138 · 10th to 90th $1,259 to $4,571

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $1,348.96 Median $4,168.69 Typical High $11,481.54	Facility	Global	$1,348.96	$4,168.69	$11,481.54
BCBS Setting Facility Modifier Global Typical Low $3,630.78 Median $10,232.93 Typical High $22,387.21	Facility	Global	$3,630.78	$10,232.93	$22,387.21
Cigna Setting Facility Modifier Global Typical Low $1,380.38 Median $3,890.45 Typical High $12,302.69	Facility	Global	$1,380.38	$3,890.45	$12,302.69
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $229.09 Median $229.09 Typical High $229.09	Facility	AS · PA/NP assist	$229.09	$229.09	$229.09
United Setting Facility Modifier Global Typical Low $891.25 Median $3,090.30 Typical High $9,772.37	Facility	Global	$891.25	$3,090.30	$9,772.37

What it costs in each state

The same service costs 8.6 times more in Colorado than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

CO $19,052MD $2,210

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.