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Opening A Long-Blocked Heart Artery

Pennsylvania 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?

$7,244

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $7,244 for this service. Most negotiated rates run $3,981 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,244 · 10th to 90th $1,413 to $32,359
$1K$2K$5K$10K$20K$50Kfacility $7,244

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
$1,380.38
Median
$7,244.36
Typical High
$31,622.78
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$36,307.81
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$8,511.38
Typical High
$14,125.38
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$24,547.09
Typical High
$69,183.10
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$6,606.93
Typical High
$20,417.38
Martin's Point
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Martin's Point
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$13,182.57
Typical High
$36,307.81

Where Pennsylvania 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.

Pennsylvania· 28th of 51

$7,244

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.