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Blood Flow Measurement Inside a Heart Artery

Virginia 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 $115 · 10th to 90th $66 to $174Professionalmedian $126 · 10th to 90th $89 to $141
$100$200facility $115professional $126

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
26 · Professional part
Typical Low
$66.07
Median
$114.82
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$89.13
Median
$107.15
Typical High
$131.83
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$134.90
Typical High
$141.25