go back

Balloon Opening of a Blocked Artery Below the Knee

New York rates for HCPCS 37228

A catheter is threaded down to a narrowed or blocked artery below the knee, and a small balloon is inflated inside it to press the blockage open and restore blood flow to the lower leg and foot. It covers the first such vessel treated in one leg. It is used when poor circulation is causing rest pain or wounds that will not heal.

Rates data updated July 2026.

How much does Balloon Opening of a Blocked Artery Below the Knee cost?

$9,772

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $9,772 for this service. The price depends on where it is billed: about $5,888 from a physician practice, and about $10,471 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$5,888$3,981 to $7,943
FacilityA hospital or hospital-owned outpatient department$10,471$6,166 to $14,454

How much rates vary

Facilitymedian $10,471 · 10th to 90th $4,571 to $17,783Professionalmedian $5,888 · 10th to 90th $1,380 to $12,023
$500$1K$2K$5K$10K$20K$50Kfacility $10,471professional $5,888

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,964.78
Typical High
$17,782.79
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,995.26
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$6,760.83
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$5,011.87
Typical High
$7,413.10
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$16,982.44
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$6,918.31
Typical High
$13,182.57
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$5,495.41
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$5,888.44
Typical High
$64,565.42
Univera
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$660.69
Typical High
$1,479.11
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$3,981.07
Typical High
$6,760.83

Where New York sits

The same service costs 1071.5 times more in Indiana than in South Carolina. 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.

New York· 12th of 50

$9,772

IN $35,481SC $33.11

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.