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Right Heart Catheterization for a Heart Defect

South Dakota rates for HCPCS 93594

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 does Right Heart Catheterization for a Heart Defect cost?

$646

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $2,818 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$646$417 to $871
FacilityA hospital or hospital-owned outpatient department$2,818$479 to $3,020

How much rates vary

Facilitymedian $2,818 · 10th to 90th $407 to $3,311Professionalmedian $646 · 10th to 90th $339 to $2,188
$500$1K$2K$5Kfacility $2,818professional $646

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
Facility
Modifier
None
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$281.84
Median
$281.84
Typical High
$316.23
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$416.87
Median
$416.87
Typical High
$524.81
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$588.84
Median
$616.60
Typical High
$758.58
Medica
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$776.25
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$269.15
Median
$549.54
Typical High
$645.65
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$338.84
Median
$588.84
Typical High
$645.65
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$616.60
Median
$616.60
Typical High
$691.83
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$389.05
Median
$478.63
Typical High
$549.54
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,311.31
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$338.84
Median
$549.54
Typical High
$645.65
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$338.84
Median
$549.54
Typical High
$645.65
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,778.28
Median
$2,187.76
Typical High
$2,187.76

Where South Dakota sits

The same service costs 23.4 times more in Colorado than in Kentucky. 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.

South Dakota· 35th of 51

$646

CO $6,761KY $288

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.