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Repair of Tetralogy of Fallot

Florida 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 Florida, July 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $2,089 from a physician practice, and about $8,710 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 7 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$2,089$1,820 to $2,399
FacilityA hospital or hospital-owned outpatient department$8,710$3,236 to $13,490

How much rates vary

Facilitymedian $8,710 · 10th to 90th $1,230 to $25,704Professionalmedian $2,089 · 10th to 90th $1,585 to $4,266
$100$1K$10Kfacility $8,710professional $2,089

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
$1,148.15
Median
$6,025.60
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,995.26
Typical High
$5,370.32
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$6,309.57
Typical High
$12,882.50
AvMed
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,238.72
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,570.40
Typical High
$4,365.16
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$21,877.62
Typical High
$33,884.42
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,445.44
Typical High
$2,454.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$5,011.87
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,454.71
Typical High
$4,570.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,089.30

Where Florida 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.

Florida· 44th 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.