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

Montana 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 October 2026.

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

$107

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $135 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$105$105 to $123
FacilityA hospital or hospital-owned outpatient department$135$89.13 to $138

How much rates vary

Facilitymedian $135 · 10th to 90th $69 to $158Professionalmedian $105 · 10th to 90th $56 to $135
$100facility $135professional $105

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$177.83
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$61.66
Median
$61.66
Typical High
$131.83
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$38.90
Typical High
$61.66
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.39
Median
$23.44
Typical High
$69.18
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$173.78
BCBS Montana
Setting
Professional
Modifier
None (both parts)
Typical Low
$56.23
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$100.00
Typical High
$147.91
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$104.71
Median
$104.71
Typical High
$123.03
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$47.86
Typical High
$56.23
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$56.23
Median
$56.23
Typical High
$66.07
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$134.90
Typical High
$147.91
MountainHealth Co-op
Setting
Professional
Modifier
None (both parts)
Typical Low
$87.10
Median
$134.90
Typical High
$144.54
MountainHealth Co-op
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
MountainHealth Co-op
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Providence
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$100.00
Typical High
$147.91
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$85.11
Median
$104.71
Typical High
$131.83
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$51.29
Typical High
$60.26
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$56.23
Typical High
$70.79
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$93.33
Median
$114.82
Typical High
$134.90
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$56.23
Median
$63.10
Typical High
$74.13
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$32.36
Median
$52.48
Typical High
$63.10

Where Montana sits

The same service costs 3.4 times more in Alaska than in New York. 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.

Montana· 15th of 51

$107

AK $182NY $53.70

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.