go back

Additional Artery Balloon Treatment During Heart Procedure

Wisconsin 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?

$5,370

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $5,370 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $9,550 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$891$813 to $1,000
FacilityA hospital or hospital-owned outpatient department$9,550$5,370 to $14,454

How much rates vary

Facilitymedian $9,550 · 10th to 90th $1,479 to $17,378Professionalmedian $891 · 10th to 90th $59 to $1,778
$50$200$1K$5K$20Kfacility $9,550professional $891

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,513.56
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,000.00
Typical High
$1,778.28
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$8,128.31
Typical High
$14,791.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$14,125.38
Typical High
$22,908.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$54.95
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$10,715.19
Typical High
$17,378.01
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$16,218.10
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$6,760.83

Where Wisconsin 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.

Wisconsin· 24th of 40

$5,370

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.