Combined Heart Cath for Congenital Heart Disease

Illinois 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 rates vary

Facilitymedian $8,710 · 10th to 90th $4,365 to $21,380

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 $5,623.41 Median $9,549.93 Typical High $21,877.62	Facility	Global	$5,623.41	$9,549.93	$21,877.62
United Setting Facility Modifier Global Typical Low $446.68 Median $2,511.89 Typical High $7,079.46	Facility	Global	$446.68	$2,511.89	$7,079.46