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Repair of Tetralogy of Fallot

Georgia 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?

$3,548

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $3,548 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $5,370 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$2,692$2,188 to $3,981
FacilityA hospital or hospital-owned outpatient department$5,370$3,467 to $9,550

How much rates vary

Facilitymedian $5,370 · 10th to 90th $2,239 to $12,589Professionalmedian $2,692 · 10th to 90th $1,995 to $5,370
$2K$5K$10K$20Kfacility $5,370professional $2,692

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
$2,187.76
Median
$5,370.32
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,398.83
Typical High
$5,370.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$6,456.54
Typical High
$16,218.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,235.94
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,235.94
Typical High
$5,495.41
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,454.71
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$3,019.95
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,884.03
Typical High
$5,370.32

Where Georgia 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.

Georgia· 14th of 51

$3,548

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.