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Heart Catheterization Through An Existing Opening

Nationwide rates for HCPCS 93533

A thin tube is threaded through a vein into the right side of the heart and then across to the left side through an opening already present in the wall between the two upper chambers. Pressures, oxygen levels, and blood flow are measured on both sides, in a person born with a heart defect.

Rates data updated October 2026.

How much does Heart Catheterization Through An Existing Opening cost?

$7,244

Typical negotiated rate. Nationwide, October 2026.

Insurers have agreed to pay about $7,244 for this service. The price depends on where it is billed: about $14,791 from a physician practice, and about $4,467 from a hospital or other facility.

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 25 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14,791$4,571 to $16,982
FacilityA hospital or hospital-owned outpatient department$4,467$1,820 to $8,318

How much rates vary

Facilitymedian $4,467 · 10th to 90th $832 to $15,488Professionalmedian $14,791 · 10th to 90th $398 to $16,982
$100$1K$10Kfacility $4,467professional $14,791

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
AllWays Health Partners
Setting
Professional
Modifier
None (both parts)
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$16,982.44
AllWays Health Partners
Setting
Professional
Modifier
26 · Professional part
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
AllWays Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$10,715.19
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$4,265.80
Typical High
$16,595.87
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$1,348.96
Typical High
$1,348.96
Asuris Northwest Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$14,791.08
Median
$16,982.44
Typical High
$16,982.44
AvMed
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$2,137.96
Typical High
$5,623.41
AvMed
Setting
Professional
Modifier
None (both parts)
Typical Low
$316.23
Median
$1,659.59
Typical High
$2,137.96
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$6,025.60
Median
$8,912.51
Typical High
$21,379.62
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$18,197.01
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$2,884.03
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$6,309.57
Typical High
$11,481.54
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$549.54
Median
$851.14
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$3,467.37
Median
$5,370.32
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$3,981.07
Median
$6,165.95
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$630.96
Median
$851.14
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$3,981.07
Median
$5,370.32
Typical High
$8,511.38
Geisinger
Setting
Facility
Modifier
None
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$12,589.25
Geisinger
Setting
Professional
Modifier
None (both parts)
Typical Low
$2,187.76
Median
$2,238.72
Typical High
$4,897.79
Geisinger
Setting
Professional
Modifier
26 · Professional part
Typical Low
$371.54
Median
$371.54
Typical High
$741.31
Geisinger
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,819.70
Median
$1,905.46
Typical High
$4,073.80
Health Partners
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$5,623.41
Typical High
$9,772.37
Health Partners
Setting
Facility
Modifier
26 · Professional part
Typical Low
$478.63
Median
$758.58
Typical High
$1,318.26
Health Partners
Setting
Facility
Modifier
TC · Technical part
Typical Low
$3,019.95
Median
$4,897.79
Typical High
$8,511.38
Health Partners
Setting
Professional
Modifier
None (both parts)
Typical Low
$3,981.07
Median
$5,888.44
Typical High
$9,120.11
Health Partners
Setting
Professional
Modifier
26 · Professional part
Typical Low
$537.03
Median
$812.83
Typical High
$1,258.93
Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$3,388.44
Median
$5,128.61
Typical High
$7,943.28
Horizon BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$331.13
Median
$398.11
Typical High
$2,137.96
Horizon BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$398.11
Median
$660.69
Typical High
$1,096.48
Horizon BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,445.44
Median
$2,137.96
Typical High
$3,090.30
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$4,265.80
Typical High
$10,000.00
Lucent Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$14,791.08
Median
$16,982.44
Typical High
$16,982.44
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$10,715.19
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$6,918.31
Median
$12,882.50
Typical High
$26,302.68
Mass General Brigham
Setting
Professional
Modifier
None (both parts)
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$16,982.44
Mass General Brigham
Setting
Professional
Modifier
26 · Professional part
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Mass General Brigham
Setting
Professional
Modifier
TC · Technical part
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$10,715.19
Medcost
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Medica
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$7,585.78
Typical High
$7,585.78
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$831.76
Median
$3,715.35
Typical High
$3,715.35
Medica
Setting
Facility
Modifier
TC · Technical part
Typical Low
$2,818.38
Median
$20,892.96
Typical High
$20,892.96
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$3,890.45
Median
$16,982.44
Typical High
$16,982.44
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$10,715.19
Medical Mutual of Ohio
Setting
Professional
Modifier
None (both parts)
Typical Low
$549.54
Median
$2,754.23
Typical High
$3,311.31
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$30.20
Median
$30.20
Typical High
$3,890.45
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,691.53
Oscar Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$5,248.07
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Sutter Health Plus
Setting
Professional
Modifier
26 · Professional part
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$34.67
Median
$2,187.76
Typical High
$4,466.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$338.84
Median
$446.68
Typical High
$676.08
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$2,570.40
Median
$3,801.89
Typical High
$8,709.64

What it costs in each state

The same service costs 562.3 times more in Oklahoma 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.

OK $16,982SC $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.