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Right Heart Catheterization for a Heart Defect

Vermont rates for HCPCS 93593

A thin tube is threaded through a vein into the right side of the heart and the lung arteries in a person with a heart defect present from birth, to measure pressures and oxygen levels directly and to map how blood is traveling. Imaging is used to steer the catheter and pictures are recorded during the study. The findings guide decisions about surgery, medication or the timing of further treatment.

Rates data updated October 2026.

How much rates vary

Facilitymedian $2,884 · 10th to 90th $2,884 to $2,884Professionalmedian $302 · 10th to 90th $269 to $832
$200$500$1K$2Kfacility $2,884professional $302

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$269.15
Median
$389.05
Typical High
$407.38
United
Setting
Facility
Modifier
None
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$269.15
Median
$302.00
Typical High
$831.76