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Both-Sides Heart Cath For Congenital Defect

Idaho 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?

$2,188

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $2,188 for this service. The price depends on where it is billed: about $1,862 from a physician practice, and about $5,248 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,862$525 to $2,188
FacilityA hospital or hospital-owned outpatient department$5,248$2,239 to $7,079

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,995 to $9,772Professionalmedian $1,862 · 10th to 90th $380 to $3,981
$500$1K$2K$5K$10K$20Kfacility $5,248professional $1,862

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$4,786.30
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,513.56
Median
$3,981.07
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$323.59
Median
$436.52
Typical High
$457.09
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$4,168.69
Median
$6,606.93
Typical High
$9,772.37
BCBS Idaho
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$5,248.07
BCBS Idaho
Setting
Professional
Modifier
26 · Professional part
Typical Low
$467.74
Median
$588.84
Typical High
$724.44
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$426.58
Median
$537.03
Typical High
$588.84
Moda Health
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$645.65
Typical High
$5,495.41
Moda Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,513.56
Median
$3,981.07
Typical High
$4,786.30
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$380.19
Median
$457.09
Typical High
$602.56
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$2,187.76
Typical High
$2,187.76
MountainHealth Co-op
Setting
Professional
Modifier
None (both parts)
Typical Low
$2,137.96
Median
$2,187.76
Typical High
$5,248.07
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$5,754.40
Median
$8,128.31
Typical High
$10,715.19
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,949.84
Select Health
Setting
Facility
Modifier
None
Typical Low
$4,786.30
Median
$6,025.60
Typical High
$7,762.47
Select Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$302.00
Median
$302.00
Typical High
$416.87
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,238.72
Typical High
$3,388.44
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$363.08
Median
$489.78
Typical High
$660.69
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$346.74
Median
$478.63
Typical High
$645.65

Where Idaho 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.

Idaho· 21st of 51

$2,188

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.