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Vein Bypass Around A Blocked Artery In The Upper Body

Maine rates for HCPCS 35516

A bypass that reroutes blood around a blocked or narrowed artery in the region running from the upper chest through the shoulder into the arm. A length of the patient's own vein is sewn in between two healthy points on either side of the blockage so blood flows past it.

Rates data updated July 2026.

How much does Vein Bypass Around A Blocked Artery In The Upper Body cost?

$1,738

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,738 for this service. Most negotiated rates run $1,380 to $1,905.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $12,023 · 10th to 90th $11,220 to $16,218Professionalmedian $1,698 · 10th to 90th $1,380 to $2,138
$1.0K$2.0K$5.0K$10.0Kfacility $12,023professional $1,698

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,819.70
Typical High
$1,819.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$12,022.64
Typical High
$16,218.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,737.80
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$2,570.40
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,659.59
Typical High
$2,137.96
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,819.70
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,778.28
Typical High
$2,290.87

Where Maine sits

The same service costs 5.5 times more in California than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $1,738 · 31st of 51
CA $7,413KY $1,349

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.