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Implanted Defibrillator Programming Check

Virginia 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?

$77.62

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $77.62 for this service. Most negotiated rates run $72.44 to $100.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $78 · 10th to 90th $58 to $135
$50$100$200professional $78

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
$38.90
Median
$47.86
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$104.71
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$45.71
Typical High
$60.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$100.00
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$53.70
Typical High
$85.11
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$79.43
Typical High
$117.49
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$43.65
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$177.83
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$57.54
Typical High
$104.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$181.97
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$44.67
Typical High
$95.50
Medcost
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Sentara
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$70.79
Typical High
$147.91
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$52.48
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$141.25
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$52.48
Typical High
$83.18

Where Virginia 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.

Virginia· 33rd of 51

$77.62

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.