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

North Carolina 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?

$77.62

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $77.62 for this service. Most negotiated rates run $70.79 to $117.

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 $78 · 10th to 90th $60 to $191
$10.0$20.0$50.0$100.0$200.0$500.0professional $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
$37.15
Median
$39.81
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$190.55
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$40.74
Typical High
$165.96
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$42.66
Typical High
$75.86
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$134.90
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$44.67
Typical High
$77.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$50.12
Typical High
$117.49
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.90
Median
$47.86
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$190.55
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$58.88
Typical High
$100.00
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.12
Median
$42.66
Typical High
$87.10
Medcost
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$75.86
Typical High
$123.03
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$44.67
Typical High
$75.86
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.05
Median
$30.20
Typical High
$58.88
Wellcare
Setting
Facility
Modifier
26 · Professional part
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$645.65
Wellcare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$245.47
Median
$245.47
Typical High
$288.40
Wellcare
Setting
Professional
Modifier
TC · Technical part
Typical Low
$288.40
Median
$288.40
Typical High
$354.81

Where North Carolina sits

The same service costs 2.2 times more in Minnesota than in Alabama. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $77.62 · 41st of 51
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.