go back

Plaque Removal From Aorta, Pelvis And Groin

Pennsylvania rates for HCPCS 35363

Opens the blood vessels and scrapes out the fatty, hardened plaque narrowing them, covering a stretch that runs from the lower main artery of the abdomen through the pelvic arteries and down into the groin arteries. Clearing this length restores blood flow to the legs in people with cramping leg pain on walking, non-healing wounds, or threatened tissue loss. A patch may be sewn over the opened vessel to keep it wide, and the operation is done through open incisions under general anesthesia.

Rates data updated July 2026.

How much does Plaque Removal From Aorta, Pelvis And Groin cost?

$1,905

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,905 from a physician practice, and about $5,370 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,905$1,738 to $1,995
FacilityA hospital or hospital-owned outpatient department$5,370$1,905 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,096 to $8,511Professionalmedian $1,905 · 10th to 90th $1,585 to $3,162
$1K$2K$5K$10K$20Kfacility $5,370professional $1,905

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
Global
Typical Low
$1,412.54
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,862.09
Typical High
$2,238.72
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,137.96
Typical High
$3,311.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,630.27
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,238.72
Typical High
$3,630.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,905.46
Typical High
$3,388.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,905.46
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$2,137.96
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,584.89
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,754.23
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,089.30
Typical High
$3,467.37

Where Pennsylvania sits

The same service costs 4.8 times more in California than in West Virginia. 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.

Pennsylvania· 49th of 51

$1,905

CA $8,511WV $1,778

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.