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Both-Sides Heart Cath For Congenital Defect

Vermont 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 rates vary

Facilitymedian $2,344 · 10th to 90th $2,344 to $2,344Professionalmedian $1,445 · 10th to 90th $457 to $2,818
$500$1K$2K$5Kfacility $2,344professional $1,445

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
26 · Professional part
Typical Low
$338.84
Median
$363.08
Typical High
$363.08
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
United
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$457.09
Median
$524.81
Typical High
$2,570.40