Combined Heart Cath for Congenital Heart Disease

Nationwide rates for HCPCS 93531

This covers a heart catheterization procedure used to evaluate a congenital heart abnormality, a heart condition present from birth, in which thin catheters are guided into both the right and left chambers of the heart to measure pressures and take detailed images. Combining both sides of the heart in one procedure gives a fuller picture of how the heart's structure and blood flow are affected. This is typically performed in a hospital catheterization lab.

Rates data updated July 2026.

How much does Combined Heart Cath for Congenital Heart Disease cost?

$12,589

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $12,589 for this service. The price depends on where it is billed: about $5,370 from a physician practice, and about $13,490 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 22 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$5,370	$2,630 to $8,128
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$13,490	$6,918 to $19,498

How much rates vary

Facilitymedian $13,490 · 10th to 90th $3,715 to $25,704Professionalmedian $5,370 · 10th to 90th $1,905 to $10,233

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
BCBS Setting Facility Modifier Global Typical Low $4,265.80 Median $14,125.38 Typical High $28,183.83	Facility	Global	$4,265.80	$14,125.38	$28,183.83
Cigna Setting Facility Modifier Global Typical Low $6,456.54 Median $8,709.64 Typical High $23,988.33	Facility	Global	$6,456.54	$8,709.64	$23,988.33
Cigna Setting Professional Modifier Global Typical Low $5,011.87 Median $6,456.54 Typical High $10,232.93	Professional	Global	$5,011.87	$6,456.54	$10,232.93
United Setting Facility Modifier Global Typical Low $630.96 Median $2,290.87 Typical High $7,244.36	Facility	Global	$630.96	$2,290.87	$7,244.36
United Setting Professional Modifier Global Typical Low $54.95 Median $3,311.31 Typical High $16,218.10	Professional	Global	$54.95	$3,311.31	$16,218.10

What it costs in each state

The same service costs 537.0 times more in California than in South Carolina. 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.

Touch or drag across the chart to see any state's rate.

CA $16,218SC $30.20

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.