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Implanted Defibrillator Programming Check

New York 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?

$91.20

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $91.20 for this service. Most negotiated rates run $70.79 to $129.

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

Professionalmedian $91 · 10th to 90th $60 to $234
$100$200$500professional $91

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
$39.81
Median
$53.70
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$147.91
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$46.77
Typical High
$77.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$70.79
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$45.71
Typical High
$91.20
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$60.26
Typical High
$107.15
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$10.23
Median
$47.86
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$112.20
Typical High
$309.03
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$67.61
Typical High
$173.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$114.82
Typical High
$165.96
Emblem Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$61.66
Typical High
$87.10
Excellus BCBS
Setting
Facility
Modifier
26 · Professional part
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$95.50
Typical High
$158.49
Excellus BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$56.23
Typical High
$87.10
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$338.84
MVP Health Care
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$60.26
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$120.23
Typical High
$831.76
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$58.88
Typical High
$123.03
Univera
Setting
Facility
Modifier
26 · Professional part
Typical Low
$33.88
Median
$56.23
Typical High
$117.49
Univera
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$95.50
Typical High
$190.55
Univera
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$56.23
Typical High
$104.71

Where New York 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.

New York· 17th of 51

$91.20

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.