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Catheter Clot Removal From a Heart Artery

South Dakota rates for HCPCS 92973

A device passed through a catheter breaks up and draws out a blood clot blocking a heart artery, restoring flow through the vessel. It is done during a catheter procedure on the heart arteries, usually alongside opening the vessel with a balloon or a stent, and is billed in addition to that work. Nothing is cut open in the chest.

Rates data updated October 2026.

How much does Catheter Clot Removal From a Heart Artery cost?

$540

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

Insurers have agreed to pay about $540 for this procedure. That total is two separate charges: $316 to the doctor who performs it, and $224 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$316$204 to $355
Facility feeThe hospital or surgery center$224$126 to $269

How much rates vary

Facilitymedian $224 · 10th to 90th $126 to $407Professionalmedian $316 · 10th to 90th $170 to $417
$200$500$1K$2Kfacility $224professional $316

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
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$169.82
Typical High
$218.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$295.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$338.84
Typical High
$416.87
Medica
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$229.09
Typical High
$436.52
Medica
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$338.84
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$416.87
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$302.00
Typical High
$426.58
United
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$302.00
Typical High
$354.81
Wellmark
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$199.53
Typical High
$199.53

Where South Dakota sits

The same service costs 40.2 times more in Alabama than in Delaware. 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· 36th of 51

$540

$316 physician + $224 facility

AL $12,840DE $320

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.