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Opening A Long-Blocked Heart Artery

North Carolina 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?

$10,965

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $10,965 for this service. Most negotiated rates run $1,288 to $16,218.

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 $10,965 · 10th to 90th $646 to $31,623
$1K$2K$5K$10K$20K$50Kfacility $10,965

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
$645.65
Median
$10,964.78
Typical High
$31,622.78
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$323.59
Median
$323.59
Typical High
$812.83
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$128.82
Median
$128.82
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$27,542.29
Typical High
$32,359.37
Medcost
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$724.44
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$15,135.61
Typical High
$39,810.72
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$44,668.36
Median
$44,668.36
Typical High
$44,668.36
Wellcare
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$35,481.34
Median
$35,481.34
Typical High
$35,481.34
Wellcare
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51

Where North Carolina 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.

North Carolina· 15th of 51

$10,965

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.