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Tricuspid Valve Replacement

Vermont 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 October 2026.

How much does Tricuspid Valve Replacement cost?

$3,802

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $3,802 for this service. Most negotiated rates run $3,311 to $4,677.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $776 · 10th to 90th $468 to $776Professionalmedian $4,169 · 10th to 90th $3,236 to $6,457
$500$1K$2K$5K$10Kfacility $776professional $4,169

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
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$4,466.84
Typical High
$4,677.35
United
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
United
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$3,890.45
Typical High
$11,481.54

Where Vermont sits

The same service costs 5.9 times more in Alaska than in Arkansas. 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.

Vermont· 17th of 51

$3,802

AK $10,965AR $1,862

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.