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Repair Of An Artificial Heart Valve

Massachusetts rates for HCPCS 33496

Open-heart surgery to correct a problem with an artificial heart valve that is already in place — for example a leak around the edge of the valve or tissue catching on it — without exchanging the valve itself. It is performed with the help of a heart-lung bypass machine.

Rates data updated July 2026.

How much does Repair Of An Artificial Heart Valve cost?

$2,455

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,188 from a physician practice, and about $3,090 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,188$1,905 to $3,802
FacilityA hospital or hospital-owned outpatient department$3,090$2,042 to $3,715

How much rates vary

Facilitymedian $3,090 · 10th to 90th $1,096 to $5,623Professionalmedian $2,188 · 10th to 90th $1,622 to $4,898
$100$500$2K$10Kfacility $3,090professional $2,188

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
$1,096.48
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,862.09
Typical High
$4,897.79
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,467.37
Typical High
$7,244.36
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,454.71
Typical High
$18,620.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$3,311.31
Typical High
$4,570.88
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,290.87
Typical High
$5,011.87
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,137.96
Typical High
$3,019.95
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,388.44
Typical High
$5,888.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,290.87
Typical High
$4,365.16
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,467.37
Typical High
$7,244.36
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,454.71
Typical High
$18,620.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,884.03
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,691.53
Typical High
$5,011.87

Where Massachusetts sits

The same service costs 7.2 times more in California than in West Virginia. 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.

Massachusetts· 26th of 51

$2,455

CA $13,183WV $1,820

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.