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Vein Bypass Around A Blocked Artery In The Upper Body

North Carolina 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?

$1,778

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $2,042 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 6 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$1,660$1,230 to $2,630
FacilityA hospital or hospital-owned outpatient department$2,042$1,413 to $4,677

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,175 to $7,586Professionalmedian $1,660 · 10th to 90th $1,175 to $3,802
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,042professional $1,660

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
$1,174.90
Median
$2,951.21
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,348.96
Typical High
$3,981.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,089.30
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,819.70
Typical High
$3,235.94
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,659.59
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,621.81
Typical High
$3,019.95
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$7,413.10
Typical High
$7,413.10
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93

Where North Carolina 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.

North Carolina $1,778 · 29th 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.