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Opening A Long-Blocked Heart Artery

South Dakota 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 October 2026.

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

$4,495

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $4,495 for this procedure. That total is two separate charges: $1,259 to the doctor who performs it, and $3,236 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,259$1,000 to $1,349
Facility feeThe hospital or surgery center$3,236$1,023 to $3,467

How much rates vary

Facilitymedian $3,236 · 10th to 90th $871 to $5,370Professionalmedian $1,259 · 10th to 90th $661 to $1,585
$1K$2K$5K$10Kfacility $3,236professional $1,259

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$4,365.16
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$954.99
Cigna
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,096.48
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,258.93
Typical High
$1,584.89
Medica
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,584.89
Typical High
$3,890.45
Medica
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$1,148.15
Typical High
$1,318.26
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,548.82
Midlands
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$12,589.25
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,148.15
Typical High
$1,621.81
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$1,148.15
Typical High
$1,318.26
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,548.82
Typical High
$1,548.82

Where South Dakota sits

The same service costs 9.6 times more in Oklahoma than in Montana. 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.

Physician feeFacility fee

South Dakota· 45th of 51

$4,495

$1,259 physician + $3,236 facility

OK $19,472MT $2,030

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.