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Combined Heart Cath for Congenital Heart Disease

North Carolina 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?

$8,913

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $8,913 for this service. Most negotiated rates run $2,042 to $16,218.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,445 to $8,913Professionalmedian $16,218 · 10th to 90th $1,288 to $16,218
$2.0K$5.0K$10.0Kfacility $3,162professional $16,218

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
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,511.89
Typical High
$4,897.79
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$16,218.10

Where North Carolina sits

The same service costs 537.0 times more in California than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $8,913 · 4th of 41
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.