go back

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 October 2026.

How much does Repair of Tetralogy of Fallot cost?

$2,399

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

Insurers have agreed to pay about $2,399 for this service. Most negotiated rates run $2,042 to $3,020.

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 $2,344 · 10th to 90th $646 to $7,943Professionalmedian $2,399 · 10th to 90th $1,820 to $5,370
$500$1K$2K$5K$10Kfacility $2,344professional $2,399

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$2,398.83
Typical High
$2,398.83
CareFirst
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,238.72
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$2,511.89
Typical High
$5,011.87
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,265.80
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$1,412.54
Typical High
$6,309.57
United
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$2,884.03
Typical High
$6,025.60

Where Washington, DC sits

The same service costs 5.8 times more in Alaska than in Texas. 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· 32nd of 51

$2,399

AK $7,762TX $1,349

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.