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Combined Heart Cath for Congenital Heart Disease

Wisconsin 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?

$6,457

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $6,457 for this service. The price depends on where it is billed: about $5,888 from a physician practice, and about $8,128 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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,888$5,248 to $6,607
FacilityA hospital or hospital-owned outpatient department$8,128$6,457 to $10,965

How much rates vary

Facilitymedian $8,128 · 10th to 90th $5,754 to $20,893Professionalmedian $5,888 · 10th to 90th $4,074 to $16,218
$100$500$2K$10Kfacility $8,128professional $5,888

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$12,022.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$5,370.32
Typical High
$8,709.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$16,218.10
Typical High
$16,218.10
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$8,912.51
Typical High
$8,912.51
Quartz
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$16,218.10
Typical High
$16,218.10
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$17,782.79
Typical High
$20,892.96

Where Wisconsin sits

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.

Wisconsin· 9th of 41

$6,457

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.