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Both-Sides Heart Cath For Congenital Defect

Maine 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?

$562

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $316 to $2,455.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,512 · 10th to 90th $1,698 to $5,754Professionalmedian $525 · 10th to 90th $316 to $4,074
$500$1K$2K$5Kfacility $2,512professional $525

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
None (both parts)
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$346.74
Median
$363.08
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$234.42
Median
$316.23
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$302.00
Median
$446.68
Typical High
$616.60
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$269.15
Median
$1,122.02
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,698.24
Median
$2,454.71
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$446.68
Median
$467.74
Typical High
$707.95
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,511.89
Typical High
$5,754.40
Harvard Pilgrim
Setting
Professional
Modifier
None (both parts)
Typical Low
$446.68
Median
$575.44
Typical High
$2,454.71
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$389.05
Median
$501.19
Typical High
$616.60
Martin's Point
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Martin's Point
Setting
Professional
Modifier
26 · Professional part
Typical Low
$346.74
Median
$363.08
Typical High
$398.11
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,511.89
Typical High
$5,754.40
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$446.68
Median
$501.19
Typical High
$2,570.40
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$446.68
Median
$501.19
Typical High
$630.96

Where Maine 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.

Maine· 51st of 51

$562

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.