go back

Repair of Tetralogy of Fallot

California 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 $15,488 · 10th–90th $5,754$28,8400%10%10th90th$15,488Professionalmedian $2,630 · 10th–90th $1,778$8,9130%10%10th90th$2,630$50.0$200.0$1.0K$5.0K$20.0K

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
$3,981.07
Median
$10,000.00
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,344.23
Typical High
$9,772.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$15,848.93
Typical High
$28,840.32
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,715.35
Typical High
$7,079.46
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$100.00
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,454.71
Typical High
$5,370.32
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,905.46
Typical High
$2,570.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,089.30
Typical High
$4,897.79
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$11,748.98
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$22,387.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,630.27
Typical High
$4,365.16
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,454.71
Typical High
$5,370.32
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,630.27
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$6,165.95
Typical High
$17,378.01
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,344.23
Typical High
$5,495.41