go back

Repair of Tetralogy of Fallot

Idaho 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?

$3,020

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $3,020 for this service. The price depends on where it is billed: about $2,951 from a physician practice, and about $4,467 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 8 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$2,951$2,455 to $3,715
FacilityA hospital or hospital-owned outpatient department$4,467$3,631 to $7,586

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,950 to $10,965Professionalmedian $2,951 · 10th to 90th $2,188 to $5,754
$2K$5K$10K$20Kfacility $4,467professional $2,951

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. 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
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,511.89
Typical High
$5,754.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$7,762.47
Typical High
$11,220.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,630.78
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,754.23
Typical High
$3,630.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,630.78
Typical High
$5,754.40
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,467.37
Typical High
$3,890.45
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,801.89
Typical High
$4,073.80
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$4,168.69
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$15,488.17
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,691.53
Typical High
$4,073.80

Where Idaho 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.

Idaho· 22nd of 51

$3,020

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.