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In-Person Pacemaker Device Programming

Illinois rates for HCPCS 93281

This service involves a healthcare provider adjusting the settings of an implanted pacemaker during an in-person visit, using a wireless programr to communicate with the device. It's used to fine-tune how the pacemaker paces the heart, based on the patient's needs and how the device has been performing.

Rates data updated October 2026.

How much does In-Person Pacemaker Device Programming cost?

$95.50

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $182 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$95.50$70.79 to $120
FacilityA hospital or hospital-owned outpatient department$182$64.57 to $309

How much rates vary

Facilitymedian $182 · 10th to 90th $54 to $575Professionalmedian $95 · 10th to 90th $47 to $135
$50$100$200$500$1Kfacility $182professional $95

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
$89.13
Median
$109.65
Typical High
$144.54
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$87.10
Median
$97.72
Typical High
$141.25
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$47.86
Typical High
$70.79
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.02
Median
$51.29
Typical High
$70.79
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$77.62
Median
$97.72
Typical High
$97.72
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$213.80
Typical High
$602.56
BCBS Illinois
Setting
Professional
Modifier
None (both parts)
Typical Low
$44.67
Median
$77.62
Typical High
$120.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$77.62
Typical High
$114.82
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$85.11
Median
$102.33
Typical High
$128.82
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$60.26
Typical High
$69.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.88
Median
$48.98
Typical High
$66.07
Hally Health
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$112.20
Typical High
$234.42
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$56.23
Typical High
$154.88
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.02
Median
$53.70
Typical High
$83.18
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$97.72
Median
$100.00
Typical High
$107.15
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$100.00
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$66.07
Median
$87.10
Typical High
$147.91
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$53.70
Typical High
$87.10
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.99
Median
$33.88
Typical High
$64.57

Where Illinois sits

The same service costs 3.3 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.

Illinois· 23rd of 51

$95.50

AK $195NY $58.88

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.