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Opening A Long-Blocked Heart Artery

Virginia 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?

$5,888

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $5,888 for this service. Most negotiated rates run $1,230 to $15,136.

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 $5,888 · 10th to 90th $776 to $22,387Professionalmedian $724 · 10th to 90th $603 to $1,230
$1K$2K$5K$10K$20K$50Kfacility $5,888professional $724

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. 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
Global
Typical Low
$891.25
Median
$5,888.44
Typical High
$19,952.62
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$309.03
Median
$363.08
Typical High
$363.08
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$123.03
Median
$144.54
Typical High
$144.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$20,892.96
Typical High
$23,442.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$16,218.10
Typical High
$46,773.51
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$891.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Medcost
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$1,318.26
Sentara
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$33,113.11
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$15,135.61
Typical High
$34,673.69

Where Virginia 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.

Virginia· 36th of 51

$5,888

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.