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Repair Of An Artificial Heart Valve

New York 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?

$3,090

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3,090 for this service. The price depends on where it is billed: about $2,188 from a physician practice, and about $6,457 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 9 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$1,778 to $2,951
FacilityA hospital or hospital-owned outpatient department$6,457$3,020 to $10,233

How much rates vary

Facilitymedian $6,457 · 10th to 90th $2,042 to $15,136Professionalmedian $2,188 · 10th to 90th $1,514 to $5,012
$1K$2K$5K$10K$20Kfacility $6,457professional $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
$1,862.09
Median
$3,019.95
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,187.76
Typical High
$5,370.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$9,772.37
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,778.28
Typical High
$4,466.84
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$37,153.52
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$2,818.38
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$3,162.28
Typical High
$8,128.31
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,388.44
Typical High
$6,165.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,454.71
Typical High
$3,311.31
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,905.46
Typical High
$3,019.95
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$2,344.23
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,073.80
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,398.83
Typical High
$6,165.95
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,041.74
Typical High
$6,025.60
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$2,041.74
Typical High
$6,165.95

Where New York 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.

New York· 13th of 51

$3,090

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.