Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 33206 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Pacemaker Placement, Surgery To Insert Or Replace A Heart Pacemaker (Medical Device For Regulating The Heartbeat) By Placing An Electrode Into The Atrium Of The Heart.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | KX - Requirements specified in the medical policy have been met SC - Medically necessary service or supply |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $402.15 national non-facility rate (2026) · View Medicare rates for 33206 |
| Medicaid Fee Schedule | $348.21 median of the 8 states in the free preview · View Medicaid rates for 33206 |
National average reimbursement for CPT 33206 by major payers:
$606.69
$632.06
$679.35
$743.04
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 33206.
CPT 33206
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC, Aurora Pleasant Prairie Ambulatory Surgery Center
Aurora Surgery Centers LLC
$18,215.00Published rateCharleston Ent Associates, LLC, Surgery Center Of Charleston
Charleston Ent Associates, LLC
$12,952.00Published ratePremier-Covenant Astc LLC, Premier Ambulatory Surgery Center
Premiercovenant Astc LLC
$7,462.00Published rateHeaton Laser And Surgery Center L L C
$4,268.00Published rateJoyce Bussard
Deaconess Hospital Inc
$360.77Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 33206 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33206 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 33206 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 33202-CPT | Moderate | Pacemaker Placement, Surgery To Insert One Or More Wires (Electrodes) For A Pacemaker Or Defibrillator (Devices For Regulating The Heartbeat). |
| 33206-CPT | Moderate | Pacemaker Placement, Surgery To Insert Or Replace A Heart Pacemaker (Medical Device For Regulating The Heartbeat) By Placing An Electrode Into The Atrium Of The Heart. |
| 33207-CPT | Moderate | Pacemaker Placement, Surgery To Insert Or Replace A Heart Pacemaker (Medical Device For Regulating The Heartbeat) By Placing An Electrode Into The Ventricle Of The Heart. |
| 33208-CPT | Moderate | Pacemaker Placement, Surgery To Insert Or Replace A Heart Pacemaker (Medical Device For Regulating The Heartbeat) By Placing An Electrode Into The Atrium And The Ventricle Of The Heart. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33206. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33206 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 33206) and we'll show you how you compare in 15 minutes or less.