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Tricuspid Valve Replacement

Illinois rates for HCPCS 33465

Removes the tricuspid valve, which sits between the upper and lower chambers on the right side of the heart, and puts a replacement valve in its place, with the patient supported on a heart-lung machine. It is done when the valve leaks badly or is too damaged to repair. The replacement may be a tissue valve or a mechanical one.

Rates data updated July 2026.

How much does Tricuspid Valve Replacement cost?

$4,074

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $4,074 for this service. Most negotiated rates run $2,344 to $5,623.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,388 · 10th to 90th $1,148 to $9,772Professionalmedian $4,365 · 10th to 90th $2,344 to $13,183
$200$1K$5K$20Kfacility $3,388professional $4,365

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
Global
Typical Low
$1,148.15
Median
$3,388.44
Typical High
$9,332.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$32,359.37
Typical High
$61,659.50
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$4,365.16
Typical High
$13,182.57
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,951.21
Typical High
$7,943.28

Where Illinois sits

The same service costs 26.3 times more in Indiana than in Wyoming. 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.

Illinois· 34th of 49

$4,074

IN $33,884WY $1,288

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.