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Implanting a Defibrillator Under the Skin

California rates for HCPCS 33270

Places or replaces a defibrillator system that sits entirely under the skin, with the generator at the side of the chest and its sensing wire running beneath the skin alongside the breastbone. Nothing is threaded through veins or into the heart itself. Testing during the operation confirms that the device recognizes a dangerous rhythm and can deliver a shock.

Rates data updated July 2026.

How much does Implanting a Defibrillator Under the Skin cost?

$9,772

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $9,772 for this service. Most negotiated rates run $6,310 to $13,804.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10,000 · 10th to 90th $3,631 to $22,909Professionalmedian $550 · 10th to 90th $447 to $1,230
$100$500$2K$10K$50Kfacility $10,000professional $550

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$7,762.47
Typical High
$25,703.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,471.29
Typical High
$18,620.87
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$4,466.84
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$15,488.17
Typical High
$25,703.96
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$537.03
Typical High
$34,673.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$1,230.27
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$141,253.75
Providence
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$707.95
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$30,902.95
Typical High
$77,624.71

Where California sits

The same service costs 141.3 times more in New Mexico than in West Virginia. 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.

California· 14th of 50

$9,772

NM $81,283WV $575

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.