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Repair of Tetralogy of Fallot

Washington, DC 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?

$2,399

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $2,399 for this service. Most negotiated rates run $2,399 to $5,495.

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.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,698 to $9,333Professionalmedian $2,399 · 10th to 90th $2,089 to $4,467
$1K$2K$5K$10Kfacility $4,074professional $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
$1,698.24
Median
$4,073.80
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,570.40
Typical High
$6,456.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,041.74
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,311.31
Typical High
$5,495.41

Where Washington, DC 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.

Washington, DC· 39th of 51

$2,399

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.