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Repair of Tetralogy of Fallot

Kentucky 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 Kentucky, July 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $2,138 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 6 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$2,138$1,995 to $2,818
FacilityA hospital or hospital-owned outpatient department$5,370$2,455 to $9,550

How much rates vary

Facilitymedian $5,370 · 10th to 90th $851 to $11,220Professionalmedian $2,138 · 10th to 90th $1,820 to $4,074
$50$200$1K$5K$20Kfacility $5,370professional $2,138

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
$851.14
Median
$2,570.40
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,137.96
Typical High
$5,754.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,041.74
Typical High
$3,235.94
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,398.83
Typical High
$2,884.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,511.89
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,235.94
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,801.89
Typical High
$19,054.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$4,466.84
Typical High
$28,183.83
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,754.23
Typical High
$4,073.80

Where Kentucky 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.

Kentucky· 40th 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.