# CPT 33206: Insertion of permanent pacemaker, atrial

Medicare CPT 33206 pays $402.15 in a non-facility setting and $402.15 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $359.41 in Nebraska to $501.43 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/33206-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $402.15 |
| National facility | $402.15 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $501.43 | $501.43 |
| Florida | $454.07 | $454.07 |
| Illinois | $448.67 | $448.67 |
| New York | $446.07 | $446.07 |
| District of Columbia | $441.36 | $441.36 |
| New Jersey | $433.13 | $433.13 |
| Connecticut | $427.10 | $427.10 |
| Michigan | $417.30 | $417.30 |
| Massachusetts | $414.48 | $414.48 |
| Maryland | $414.29 | $414.29 |
| Washington | $414.12 | $414.12 |
| West Virginia | $410.52 | $410.52 |
| Georgia | $407.89 | $407.89 |
| California | $406.68 | $406.68 |
| Pennsylvania | $405.63 | $405.63 |
| Rhode Island | $404.49 | $404.49 |
| New Mexico | $403.53 | $403.53 |
| Puerto Rico | $402.60 | $402.60 |
| Virgin Islands | $402.60 | $402.60 |
| Montana | $402.04 | $402.04 |
| Colorado | $400.39 | $400.39 |
| New Hampshire | $400.07 | $400.07 |
| Texas | $397.77 | $397.77 |
| Delaware | $396.43 | $396.43 |
| Oregon | $395.12 | $395.12 |
| Hawaii | $395.01 | $395.01 |
| Louisiana | $394.68 | $394.68 |
| Nevada | $393.17 | $393.17 |
| Ohio | $392.56 | $392.56 |
| Missouri | $391.81 | $391.81 |
| Arizona | $390.73 | $390.73 |
| Utah | $389.68 | $389.68 |
| Wyoming | $387.99 | $387.99 |
| South Carolina | $385.22 | $385.22 |
| Kentucky | $384.73 | $384.73 |
| Virginia | $384.18 | $384.18 |
| Oklahoma | $377.68 | $377.68 |
| Maine | $376.69 | $376.69 |
| North Carolina | $374.77 | $374.77 |
| Vermont | $374.10 | $374.10 |
| Mississippi | $371.92 | $371.92 |
| North Dakota | $369.81 | $369.81 |
| Minnesota | $367.16 | $367.16 |
| Tennessee | $366.45 | $366.45 |
| South Dakota | $366.00 | $366.00 |
| Indiana | $365.75 | $365.75 |
| Idaho | $364.24 | $364.24 |
| Alabama | $364.11 | $364.11 |
| Kansas | $364.08 | $364.08 |
| Wisconsin | $359.63 | $359.63 |
| Iowa | $359.52 | $359.52 |
| Arkansas | $359.49 | $359.49 |
| Nebraska | $359.41 | $359.41 |

## Related codes

- 33016: Pericardiocentesis — https://www.med-reveal.com/rates/33016-cpt-fee-schedule
- 33017: Pericardial drainage with insertion of indwelling catheter — https://www.med-reveal.com/rates/33017-cpt-fee-schedule
- 33207: Insertion of permanent pacemaker, ventricular — https://www.med-reveal.com/rates/33207-cpt-fee-schedule
- 33208: Insertion of permanent pacemaker, atrial and ventricular — https://www.med-reveal.com/rates/33208-cpt-fee-schedule
- 33210: Insertion of temporary transvenous pacemaker — https://www.med-reveal.com/rates/33210-cpt-fee-schedule
- 33240: Insertion of implantable defibrillator pulse generator only — https://www.med-reveal.com/rates/33240-cpt-fee-schedule
- 33249: Insertion of implantable defibrillator with lead(s), dual chamber — https://www.med-reveal.com/rates/33249-cpt-fee-schedule
- 33262: Removal of implantable defibrillator pulse generator only — https://www.med-reveal.com/rates/33262-cpt-fee-schedule

Commercial negotiated rates for 33206 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules