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Implanted Defibrillator Programming Check

Illinois rates for HCPCS 93260

An in-office check of an implanted defibrillator of the type whose lead runs under the skin rather than inside the heart. The device is connected to a programr, the information it has stored is reviewed, and its settings are tested and adjusted to the values that suit the patient best, with a written report by the doctor.

Rates data updated July 2026.

How much does Implanted Defibrillator Programming Check cost?

$83.18

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $83.18 for this service. Most negotiated rates run $69.18 to $110.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $83 · 10th to 90th $58 to $141
$50$100$200professional $83

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
26 · Professional part
Typical Low
$47.86
Median
$63.10
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$144.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$47.86
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$74.13
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$102.33
Typical High
$154.88
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$60.26
Typical High
$95.50
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$288.40
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$54.95
Typical High
$213.80
Hally Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$97.72
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$50.12
Typical High
$53.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$141.25
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$56.23
Typical High
$87.10

Where Illinois sits

The same service costs 2.4 times more in Minnesota than in Oklahoma. 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.

Illinois· 22nd of 51

$83.18

MN $170OK $70.79

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.