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Artificial Bypass To The Vertebral Artery

Michigan rates for HCPCS 35645

Builds a detour using a tube of artificial material rather than the patient's own vein, carrying blood from a large artery at the base of the neck into the vertebral artery, the vessel that runs up through the neck bones to supply the back of the brain. It is done when the vertebral artery's own beginning is narrowed or blocked, leaving that part of the brain short of blood. It is open surgery through an incision above the collarbone under general anesthesia.

Rates data updated July 2026.

How much does Artificial Bypass To The Vertebral Artery cost?

$1,259

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $4,898 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 5 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$1,259$1,047 to $1,380
FacilityA hospital or hospital-owned outpatient department$4,898$2,951 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,259 to $6,918Professionalmedian $1,259 · 10th to 90th $933 to $1,995
$500$1K$2K$5K$10Kfacility $4,898professional $1,259

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
$1,258.93
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,174.90
Typical High
$1,318.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,995.26
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,288.25
Typical High
$1,513.56
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,235.94
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,202.26
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,890.45
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,412.54
Typical High
$1,778.28

Where Michigan sits

The same service costs 6.9 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.

Michigan· 39th of 51

$1,259

CA $7,413WV $1,072

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.