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Opening A Long-Blocked Heart Artery

California rates for HCPCS 92943

Reopens a heart artery, one of its branches, or an old bypass graft that has been completely blocked for a long time. Working through a catheter from the wrist or groin, the doctor crosses the blockage and restores flow using a balloon, a stent, or a device that shaves or drills through the hardened material. One blocked vessel is treated; a further blocked vessel opened in the same session is billed separately.

Rates data updated July 2026.

How much does Opening A Long-Blocked Heart Artery cost?

$15,488

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $15,488 for this service. Most negotiated rates run $11,220 to $21,878.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15,488 · 10th to 90th $6,166 to $28,840Professionalmedian $692 · 10th to 90th $537 to $1,413
$100.0$1.0K$10.0Kfacility $15,488professional $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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$11,748.98
Typical High
$25,703.96
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$295.12
Median
$323.59
Typical High
$1,698.24
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$117.49
Median
$128.82
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$16,595.87
Typical High
$28,840.32
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$7,079.46
Typical High
$17,378.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$14,791.08
Typical High
$23,988.33
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$645.65
Typical High
$10,715.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$1,412.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$44,668.36
Median
$44,668.36
Typical High
$44,668.36
Lucent Health
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$35,481.34
Median
$35,481.34
Typical High
$35,481.34
Lucent Health
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
Providence
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$954.99
Typical High
$19,498.45
United
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$14,454.40
Typical High
$29,512.09

Where California sits

The same service costs 64.6 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $15,488 · 7th of 51
IN $41,687ND $646

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.