go back

Both-Sides Heart Cath For Congenital Defect

Washington, DC rates for HCPCS 93596

A catheter study of a heart with a defect present from birth. Thin tubes are guided through blood vessels into both the right and the left sides of the heart to measure pressures and oxygen levels and to map how blood is actually flowing through the abnormal anatomy. The findings guide whether and how the defect should be repaired.

Rates data updated October 2026.

How much does Both-Sides Heart Cath For Congenital Defect cost?

$2,138

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $2,138 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $9,333 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,288$347 to $2,951
FacilityA hospital or hospital-owned outpatient department$9,333$3,715 to $14,454

How much rates vary

Facilitymedian $9,333 · 10th to 90th $1,698 to $26,303Professionalmedian $1,288 · 10th to 90th $347 to $3,090
$500$1K$2K$5K$10K$20Kfacility $9,333professional $1,288

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
$1,288.25
Median
$7,244.36
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
CareFirst
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$14,125.38
Typical High
$18,620.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$4,677.35
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
United
Setting
Facility
Modifier
None
Typical Low
$2,290.87
Median
$10,232.93
Typical High
$34,673.69
United
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$489.78
Typical High
$3,090.30

Where Washington, DC sits

The same service costs 14.5 times more in California than in Maine. 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.

Washington, DC· 22nd of 51

$2,138

CA $8,128ME $562

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.