go back

In-Person Pacemaker Check and Adjustment, Two-Lead System

Illinois rates for HCPCS 93280

A clinician connects to an implanted heart pacemaker during an in-office visit to check its settings, battery status, and how well it's working, adjusting the programming as needed. This version applies to a pacemaker system with two wires (leads) placed in the heart. The visit is done in person rather than through remote transmission.

Rates data updated July 2026.

How much does In-Person Pacemaker Check and Adjustment, Two-Lead System cost?

$85.11

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $67.61 to $112.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $85 · 10th to 90th $54 to $155
$50$100$200professional $85

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
$36.31
Median
$41.69
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$87.10
Typical High
$169.82
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$43.65
Typical High
$154.88
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.39
Median
$43.65
Typical High
$69.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$112.20
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$38.02
Typical High
$51.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$72.44
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$100.00
Typical High
$158.49
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$53.70
Typical High
$83.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.30
Median
$47.86
Typical High
$77.62
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$123.03
Typical High
$467.74
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$56.23
Typical High
$173.78
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$37.15
Median
$52.48
Typical High
$107.15
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
$93.33
Median
$93.33
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$44.67
Typical High
$46.77
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$47.86
Typical High
$53.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$87.10
Typical High
$138.04
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$53.70
Typical High
$85.11
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.38
Median
$36.31
Typical High
$64.57

Where Illinois sits

The same service costs 2.2 times more in Minnesota than in Alabama. 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· 28th of 51

$85.11

MN $162AL $72.44

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.