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Right Heart Catheterization for a Heart Defect

Virginia 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 July 2026.

How much does Right Heart Catheterization for a Heart Defect cost?

$6,761

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $6,761 for this service. The price depends on where it is billed: about $2,455 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 8 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$2,455$363 to $8,128
FacilityA hospital or hospital-owned outpatient department$8,128$3,631 to $13,804

How much rates vary

Facilitymedian $8,128 · 10th to 90th $389 to $15,849Professionalmedian $2,455 · 10th to 90th $263 to $15,488
$200$500$1K$2K$5K$10K$20Kfacility $8,128professional $2,455

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$8,912.51
Typical High
$15,848.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$7,079.46
Typical High
$15,488.17
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$13,489.63
Typical High
$14,791.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$354.81
Typical High
$354.81
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$7,244.36
Typical High
$10,715.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$11,220.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$416.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$331.13
Typical High
$602.56
Sentara
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$11,748.98
Sentara
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$11,748.98
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$11,220.18
Typical High
$29,512.09
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$645.65

Where Virginia sits

The same service costs 34.7 times more in South Carolina than in Maryland. 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.

Virginia· 15th of 51

$6,761

SC $11,749MD $339

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.