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Repair of Tetralogy of Fallot

Maine 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?

$2,754

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $2,754 for this service. Most negotiated rates run $2,239 to $2,951.

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.

How much rates vary

Professionalmedian $2,754 · 10th to 90th $2,138 to $3,548
$2K$5Kprofessional $2,754

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
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,884.03
Typical High
$2,884.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,754.23
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,570.40
Typical High
$4,168.69
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,691.53
Typical High
$3,548.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,187.76
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,884.03
Typical High
$3,715.35

Where Maine 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.

Maine· 29th of 51

$2,754

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.