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Full Repair Of Tetralogy Of Fallot

Virginia rates for HCPCS 33692

Open heart surgery that corrects tetralogy of Fallot, a combination of heart differences present from birth. The hole between the two pumping chambers is patched closed and the narrowed outflow towards the lungs is opened up, so blood is properly separated and reaches the lungs. It applies where that outflow is narrowed rather than completely closed off.

Rates data updated July 2026.

How much does Full Repair Of Tetralogy Of Fallot cost?

$2,399

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $2,399 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$2,399$2,188 to $2,884
FacilityA hospital or hospital-owned outpatient department$3,631$2,399 to $7,079

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,995 to $11,749Professionalmedian $2,399 · 10th to 90th $1,905 to $4,074
$2K$5K$10Kfacility $3,631professional $2,399

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
$2,238.72
Median
$5,011.87
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,290.87
Typical High
$4,073.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$14,791.08
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,398.83
Typical High
$3,388.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,570.40
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,398.83
Typical High
$3,890.45
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,041.74
Typical High
$2,511.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,235.94
Typical High
$4,466.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,691.53
Typical High
$4,073.80
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,570.40
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,570.40
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
$1,698.24
Median
$2,511.89
Typical High
$4,365.16

Where Virginia sits

The same service costs 6.3 times more in California than in Rhode Island. 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· 37th of 51

$2,399

CA $12,882RI $2,042

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.