go back

Both-Sides Heart Cath For Congenital Defect

North Carolina 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 July 2026.

How much rates vary

Facilitymedian $324 · 10th to 90th $324 to $813
$500.0$1.0K$2.0Kfacility $324

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
26 · Professional part
Typical Low
$323.59
Median
$323.59
Typical High
$812.83
Wellcare
Setting
Facility
Modifier
26 · Professional part
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74