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Opening A Long-Blocked Heart Artery

Ohio 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?

$7,943

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $7,943 for this service. Most negotiated rates run $4,467 to $12,023.

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.

How much rates vary

Facilitymedian $7,943 · 10th to 90th $2,042 to $22,909
$1K$2K$5K$10K$20Kfacility $7,943

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
$1,230.27
Median
$7,762.47
Typical High
$12,589.25
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$316.23
Median
$616.60
Typical High
$1,023.29
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$125.89
Median
$245.47
Typical High
$407.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$7,413.10
Typical High
$30,199.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$20,892.96
Typical High
$23,988.33
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$20,892.96
Typical High
$24,547.09
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$9,772.37
Typical High
$29,512.09

Where Ohio 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.

Ohio· 23rd of 51

$7,943

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.