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Additional Artery Balloon Treatment During Heart Procedure

New York rates for HCPCS 92921

During a procedure to open a narrowed or blocked artery supplying the heart, this covers treating an additional branch of the artery beyond the main one already being treated in the same session. A thin catheter with a balloon tip is guided to the narrowed spot and inflated to widen it and improve blood flow. This is done when more than one area of a coronary artery needs to be opened during the same procedure.

Rates data updated July 2026.

How much does Additional Artery Balloon Treatment During Heart Procedure cost?

$646

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $4,786 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$263$141 to $4,898
FacilityA hospital or hospital-owned outpatient department$4,786$245 to $6,918

How much rates vary

Facilitymedian $4,786 · 10th to 90th $145 to $15,136Professionalmedian $263 · 10th to 90th $102 to $33,884
$100$500$2K$10K$50Kfacility $4,786professional $263

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
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$15,135.61
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$208.93
Typical High
$331.13
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$50,118.72
Typical High
$53,703.18
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$158.49
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
$645.65
Median
$5,248.07
Typical High
$40,738.03
Univera
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$245.47
Univera
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$380.19

Where New York sits

The same service costs 380.2 times more in Colorado than in Nevada. 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· 34th of 40

$646

CO $13,804NV $36.31

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.