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Repair Of An Artificial Heart Valve

Virginia 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?

$2,138

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $2,138 for this service. The price depends on where it is billed: about $2,042 from a physician practice, and about $3,631 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 8 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$2,042$1,862 to $2,455
FacilityA hospital or hospital-owned outpatient department$3,631$2,089 to $7,079

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,862 to $10,965Professionalmedian $2,042 · 10th to 90th $1,549 to $3,631
$1K$2K$5K$10Kfacility $3,631professional $2,042

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
$5,011.87
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,995.26
Typical High
$3,467.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$12,302.69
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,041.74
Typical High
$2,884.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,187.76
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,187.76
Typical High
$3,311.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,819.70
Typical High
$2,238.72
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,884.03
Typical High
$3,801.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,344.23
Typical High
$3,467.37
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,187.76
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,187.76
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,388.44
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,187.76
Typical High
$3,715.35

Where Virginia 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.

Virginia· 34th of 51

$2,138

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.