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Plaque Removal From An Extra Heart Branch

New York rates for HCPCS 92925

Hardened plaque is shaved or drilled away from inside a branch of a heart artery to restore blood flow, with balloon widening used as well when needed. This covers each further branch treated during the same procedure and is billed in addition to the main procedure.

Rates data updated July 2026.

How much does Plaque Removal From An Extra Heart Branch cost?

$5,012

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $7,586 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$692$123 to $5,495
FacilityA hospital or hospital-owned outpatient department$7,586$4,571 to $12,303

How much rates vary

Facilitymedian $7,586 · 10th to 90th $2,818 to $26,915Professionalmedian $692 · 10th to 90th $115 to $17,783
$100$500$2K$10K$50Kfacility $7,586professional $692

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
$102.33
Median
$102.33
Typical High
$114.82
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
$123.03
Median
$123.03
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$6,760.83
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$5,011.87
Typical High
$20,417.38
Univera
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$114.82

Where New York sits

The same service costs 645.7 times more in Indiana than in Idaho. 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· 25th of 37

$5,012

IN $19,498ID $30.20

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.