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

Kentucky 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?

$75.86

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $75.86 for this service. Most negotiated rates run $60.26 to $97.72.

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 $76 · 10th to 90th $48 to $138
$10$20$50$100$200professional $76

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
$69.18
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$81.28
Typical High
$138.04
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$39.81
Typical High
$128.82
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$41.69
Typical High
$67.61
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$97.72
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$44.67
Typical High
$50.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$60.26
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$40.74
Typical High
$56.23
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$16.98
Median
$19.95
Typical High
$31.62
CareSource
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$45.71
Typical High
$89.13
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$9.33
Median
$43.65
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$100.00
Typical High
$380.19
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$60.26
Typical High
$177.83
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.99
Median
$40.74
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$125.89
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$45.71
Typical High
$72.44
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.50
Median
$29.51
Typical High
$56.23

Where Kentucky 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.

Kentucky· 47th of 51

$75.86

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.