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Repair of Tetralogy of Fallot

Arizona 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.

How much does Repair of Tetralogy of Fallot cost?

$2,344

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $2,188 from a physician practice, and about $4,365 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 5 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$2,089 to $2,570
FacilityA hospital or hospital-owned outpatient department$4,365$2,239 to $6,457

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,778 to $8,318Professionalmedian $2,188 · 10th to 90th $1,862 to $7,586
$1K$2K$5K$10K$20Kfacility $4,365professional $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
$2,041.74
Median
$4,677.35
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,187.76
Typical High
$9,772.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$7,413.10
Typical High
$13,803.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,089.30
Typical High
$13,182.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$23,442.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,290.87
Typical High
$3,467.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,511.89
Typical High
$5,128.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,238.72
Typical High
$22,387.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,290.87
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,137.96
Typical High
$3,467.37

Where Arizona sits

The same service costs 6.2 times more in California than in Mississippi. 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.

Arizona· 46th of 51

$2,344

CA $13,183MS $2,138

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.