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Repair Of An Artificial Heart Valve

North Carolina 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?

$2,239

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,239 for this service. The price depends on where it is billed: about $2,089 from a physician practice, and about $2,818 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 6 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$2,089$1,622 to $3,631
FacilityA hospital or hospital-owned outpatient department$2,818$1,660 to $6,310

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,622 to $8,318Professionalmedian $2,089 · 10th to 90th $1,585 to $5,129
$1K$2K$5K$10Kfacility $2,818professional $2,089

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
$1,621.81
Median
$4,073.80
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,862.09
Typical High
$5,370.32
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,630.27
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,630.27
Typical High
$4,466.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,398.83
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,238.72
Typical High
$4,073.80
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$10,232.93
Typical High
$10,232.93
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$18,620.87

Where North Carolina 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.

North Carolina· 31st of 51

$2,239

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.