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Angiography Cost in India: Types, Procedures, Factors & More

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Medically reviewed by Dr Rohan J Harsoda – MBBS, DNB(General Surgery)

A minimally invasive technique, angiography, utilises X-ray imaging with a special contrast dye to get a clear picture of your blood vessels. This allows doctors to diagnose issues like blockages, narrowed arteries, and bulges (aneurysms). Beyond diagnosis, angiography can even treat certain conditions affecting your arteries, such as those in the heart (coronary) and legs (peripheral). 

In this blog, we’ll delve into angiography, including its cost breakdown, procedure, types, and much more – so keep reading!

Types of Angiography Procedures(And Its Prices)

  1. Coronary Angiography

    Coronary angiography is a common procedure that uses X-rays to check the health of your heart’s blood vessels. This helps doctors see if there’s any blockage or narrowing, which can be a sign of coronary artery disease, a leading cause of health problems. Coronary angiography can also help doctors plan treatments like angioplasty or bypass surgery. In India, the cost of this procedure typically ranges from Rs. 20,000 to Rs. 60,000.

  2. Cerebral Angiography

    Cerebral angiography is a type of X-ray procedure that looks closely at the blood vessels in your brain. It helps doctors diagnose conditions like stroke, brain aneurysms, and malformations in the blood vessels. This information can also be used to plan treatments for these conditions. The average cost of cerebral angiography in India is typically between Rs. 25,000 and Rs. 40,000.

  3. Renal Angiography

    Renal angiography is a minimally invasive X-ray imaging technique that visualises the blood vessels of the kidneys. It is used to diagnose blockages or narrowing (stenosis) of the renal arteries, which can affect blood flow to the kidneys. Renal angiography can also be used to guide procedures that open up these narrowed arteries, such as angioplasty with stenting. The cost of renal angiography in India typically ranges from Rs. 15,000 to Rs. 30,000.

  4. Pulmonary Angiography

    Pulmonary angiography is an X-ray imaging technique that uses a contrast dye to examine the blood vessels in your lungs. This procedure is particularly helpful in diagnosing pulmonary embolism, a blockage of a lung artery by a blood clot. It can also be used to guide treatments to dissolve or remove the clot, and assess other blood vessel abnormalities like malformations or narrowing. While the cost in India can vary, it typically ranges between Rs. 20,000 to Rs. 35,000.

  5. Hepatic Angiography

    Hepatic angiography is a minimally invasive procedure that uses X-ray imaging to examine the detailed anatomy of the liver’s blood vessels. This helps diagnose various liver conditions including cancer, cirrhosis, and portal hypertension. In some cases, hepatic angiography can also be used to guide minimally invasive treatments like chemoembolisation or radioembolisation to target liver tumours. The cost of hepatic angiography in India can vary depending on the facility and complexity of the procedure but typically ranges between Rs. 25,000 and Rs. 45,000.

  6. Reproductive Angiography

    Doctors can use a procedure called reproductive angiography to look at the blood vessels in the reproductive system. This involves taking X-ray pictures after a special dye is injected. It can help find causes of female problems like fibroids, endometriosis, and pelvic congestion. Reproductive angiography can also be a helpful tool during some treatments, like blocking blood flow to fibroids or abnormal veins. The cost of this procedure in India typically falls between Rs. 30,000 and Rs. 50,000.

Angiography Test Price in Various Indian Cities

CT angiography (CTA) is a non-invasive imaging method utilising computed tomography to observe blood vessels. In contrast, conventional angiography involves an invasive approach, requiring the direct injection of contrast dye into blood vessels for visualisation through X-ray. The associated cost of angiography in India varies, typically falling within the range of Rs. 8,000 to Rs. 35,000. The specific cost depends on the type and location of the angiography procedure. A more detailed breakdown of the prices is provided below.
Bangalore ₹25,000 ₹12,000
Hyderabad ₹20,000 ₹9,000
Chennai ₹25,000 ₹10,000
Mumbai ₹35,000 ₹15,000
Gurgaon ₹25,000 ₹12,000
Pune ₹20,000 ₹8,000
Delhi ₹20,000 ₹8,000

Factors Influencing the Angiography Cost in India

Understanding the various factors influencing an angiogram’s cost in India can help you plan for this crucial medical procedure. Here’s a breakdown of the key elements:

  1. Type of Angiography:

    • Coronary Angiography: The most common type, examining heart arteries.
    • Cerebral Angiography: Focuses on blood vessels in the brain.
    • Peripheral Angiography: Examines vessels in arms, legs, and other peripheral areas.
    • Pulmonary Angiography: Visualises blood vessels in the lungs.

    The cost varies depending on the specific type needed.

  2. Hospital/Clinic Choice:

    Premier hospitals and clinics in metros often charge more than smaller or government hospitals in less urban areas.

  3. Geographic Location:

    Healthcare services are costlier in metropolitan cities like Delhi, Mumbai, or Bangalore compared to smaller towns or rural areas.

  4. Doctor’s Fees

    The experience and reputation of the performing cardiologist or radiologist can affect the cost. Highly qualified specialists may charge higher fees.

  5. Room Type and Stay Duration

    Overnight stays involve choosing a room type (general ward, semi-private, private) and impact the overall cost.

  6. Pre-Procedure Tests:

    Additional blood tests, ECG, or chest X-rays before angiography add to the cost.

  7. Angiography Technology:

    The type of equipment used can influence the cost. Advanced technology and state-of-the-art facilities might be more expensive.

  8. Medications and Supplies:

    The cost may include medical supplies and contrast dyes used during the procedure.

  9. Medical Insurance:

    Medical insurance can significantly reduce out-of-pocket expenses. The coverage extent and insurance plan determine patient costs.

  10. Additional Procedures:

    If angiography identifies issues, further treatments or procedures might add to the cost.

  11. Post-Procedure Care:

    There may be costs associated with recovery and follow-up appointments after angiography.

  12. Patient’s Health Condition:

    Overall health can impact the cost. Complications or specialised care needs can increase expenses.

  13. Negotiation Skills:

    In some cases, patients or families can negotiate the cost with the hospital, especially for out-of-pocket payments.

When Will the Doctor Ask You to Get an Angiography?

A doctor might recommend an angiogram if:

  1. There are signs of a blocked or narrow artery, like abnormal stress test results.
  2. Someone is experiencing new or unusual chest pain.
  3. The person has a history of stroke, heart attack, or heart failure.
  4. There are other health issues that could affect the blood vessels.

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Procedure for Angiography

Angiography is a medical procedure used to visualise the blood vessels in various parts of the body, typically to diagnose conditions like blockages, narrowing, or abnormalities. Here’s what you can expect before, during, and after an angiography:

Before Your Procedure:

  • Medical Check-up: Your doctor will discuss your medical history, allergies, medications, and past procedures to assess your suitability for angiography.
  • Prep Work: You might need to fast for several hours before the procedure to ensure an empty stomach.
  • Bloodwork: Blood tests may be done to check your kidney function and blood clotting ability.
  • Informed Consent: You’ll be given detailed information about the procedure and its risks and benefits. Signing a consent form confirms your understanding and willingness to proceed.

During the Angiography:

  • Getting Ready: You’ll change into a gown and lie comfortably on an X-ray table.
  • Local Anesthesia: The area where the catheter is inserted (usually groin or wrist) will be numbed with local anesthesia to minimise discomfort.
  • Catheter Insertion: A thin, flexible tube (catheter) is inserted into your artery and carefully guided towards the target area for examination.
  • Contrast Injection: A special dye (contrast) is injected through the catheter to highlight your blood vessels in the X-ray images. You might feel a warm flushing sensation briefly.
  • X-ray Imaging: Multiple X-ray images are taken as the contrast dye flows through your blood vessels, providing detailed pictures of your vascular system.
  • Monitoring: Your vital signs (heart rate, blood pressure) will be closely monitored throughout the procedure.
  • Communication: It’s important to remain still and follow instructions from the medical team to ensure successful imaging.

After Your Procedure:

  • Recovery Room: You’ll be moved to a recovery area for observation and asked to lie flat for a while to minimise bleeding from the insertion site.
  • Monitoring: You’ll be closely monitored for any complications like bleeding or allergic reactions to the contrast dye.
  • Going Home: Once your condition is stable, you’ll receive post-procedure care instructions, including activity limitations and medication information.
  • Follow-up Appointment: You’ll likely schedule a follow-up visit with your doctor to discuss the angiography results and determine any further treatment plans.

Interpreting the Results

An angiogram acts like a detailed picture of your blood vessels. Clear, healthy vessels show unrestricted blood flow. Blockages or narrowing can indicate potential issues like peripheral artery disease or an increased risk of stroke. The doctor will assess the location, severity, and extent of these abnormalities to determine the best treatment plan. This could range from lifestyle changes to surgery. Angiogram results provide valuable information for diagnosing and managing various vascular conditions.

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Frequently Asked Questions (FAQs):

Recovery time for angiography varies based on the procedure and individual health. Most patients can resume daily activities within a few days. Avoid strenuous activities for at least a week. Mild discomfort, swelling, and bruising are normal and should subside within a few days. Follow the doctor’s instructions for post-procedure care, medication, and follow-up appointments.
An angiography procedure can take anywhere from 30 minutes to several hours, depending on the type of examination being performed and the complexity of the case. The patient is usually given a sedative and local anesthesia to help them relax and numb the area where the catheter is inserted. After the procedure, the patient may need to stay in the hospital for observation for several hours.
While the procedure itself is typically quick and easy, you might experience a temporary sensation of warmth or mild nausea as the contrast agent circulates through your bloodstream.
The contrast agent is used in angiography to highlight blood vessels on X-ray images. It is injected into the bloodstream through a catheter and shows up as a bright white area on the X-ray, making it easier for doctors to identify any abnormalities or blockages. The contrast agent is generally safe, but in rare cases, can cause side effects.
Jigar Patel is the Founder of Health-e, a HealthTech app that simplifies health records management along with providing personalized and preventative healthcare solutions. Although he has 20+ years of operations and management experience in the EPC domain, Jigar’s true passion lies in making healthcare simpler, faster and more accessible for doctors and patients alike. He strongly believes that people need to be empowered to participate in their own healthcare and is constantly thinking of ways to build this into his app. He loves to keep things simple be it in life, product design, his work or the content he develops. Being married for 10 years and having 2 kids have taught him that perspective matters, so you can always count on him to share new perspectives on various topics.