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Opening A Long-Blocked Heart Artery

Illinois 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?

$3,236

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $3,236 for this service. Most negotiated rates run $1,202 to $9,772.

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.

How much rates vary

Facilitymedian $4,365 · 10th to 90th $977 to $20,417Professionalmedian $1,023 · 10th to 90th $646 to $3,311
$200$1K$5K$20Kfacility $4,365professional $1,023

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
$812.83
Median
$3,467.37
Typical High
$18,620.87
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$363.08
Median
$537.03
Typical High
$549.54
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$147.91
Median
$213.80
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$16,218.10
Typical High
$20,892.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$14,125.38
Typical High
$19,054.61
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,023.29
Typical High
$3,311.31
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$12,022.64
Typical High
$26,302.68

Where Illinois sits

The same service costs 64.6 times more in Indiana than in North Dakota. 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.

Illinois· 41st of 51

$3,236

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.