Blood Flow Measurement Inside a Heart Artery

North Carolina rates for HCPCS 93571

This covers using a specialized pressure- or flow-sensing wire inside an artery of the heart to determine how much a narrowing is limiting blood flow, sometimes combined with a medication that temporarily increases blood flow to get a clearer reading. The measurement helps a doctor decide whether a narrowing needs to be treated with a stent or other procedure, rather than relying on the image alone. This is performed during a heart catheterization.

Rates data updated July 2026.

How much rates vary

Facilitymedian $107 · 10th to 90th $71 to $158

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $107.15 Typical High $158.49	Facility	26 · Professional part	$70.79	$107.15	$158.49
Wellcare Setting Facility Modifier 26 · Professional part Typical Low $436.52 Median $436.52 Typical High $436.52	Facility	26 · Professional part	$436.52	$436.52	$436.52