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Repair of Tetralogy of Fallot

Nationwide rates for HCPCS 33694

Open-heart surgery for a child born with tetralogy of Fallot, a combination of heart differences in which a hole between the lower chambers and a narrowed route to the lungs together mean too little blood reaches the lungs. The hole is closed with a patch and the narrowed outflow is enlarged so blood can flow properly to the lungs.

Rates data updated July 2026.

Facilitymedian $7,586 · 10th–90th $1,950$24,5470%5%10%10th90th$7,586Professionalmedian $2,512 · 10th–90th $1,862$6,0260%20%10th90th$2,512$20.0$100.0$500.0$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$4,466.84
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,344.23
Typical High
$5,888.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$15,488.17
Typical High
$30,902.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,884.03
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,495.41
Typical High
$17,378.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,090.30
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$3,090.30
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,630.27
Typical High
$5,011.87