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

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $70.79 to $105.

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 $59 to $166
$20$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
$44.67
Median
$67.61
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$85.11
Typical High
$138.04
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$42.66
Typical High
$72.44
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$42.66
Typical High
$69.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$37.15
Typical High
$41.69
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$158.49
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$223.87
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$54.95
Typical High
$117.49
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.12
Median
$45.71
Typical High
$107.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$125.89
Typical High
$158.49
Emblem Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$60.26
Typical High
$70.79
Emblem Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$50.12
Median
$66.07
Typical High
$87.10
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$165.96
Horizon BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$41.69
Typical High
$93.33
Horizon BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.18
Median
$35.48
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$83.18
Typical High
$173.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$43.65
Typical High
$91.20
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.39
Median
$40.74
Typical High
$89.13

Where New Jersey 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.

New Jersey· 30th 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.