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Repair of Tetralogy of Fallot

Illinois 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.

Facilitymedian $3,236 · 10th–90th $1,148$9,7720%10%10th90th$3,236Professionalmedian $2,884 · 10th–90th $2,089$4,6770%20%10th90th$2,884$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$3,235.94
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,398.83
Typical High
$4,570.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$22,908.68
Typical High
$43,651.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,884.03
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,884.03
Typical High
$4,073.80
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,235.94
Typical High
$8,912.51
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,511.89
Typical High
$2,818.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,951.21
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,884.03
Typical High
$4,570.88