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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 October 2026.

How much does Repair of Tetralogy of Fallot cost?

$2,754

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $2,754 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $776 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,884$2,239 to $3,162
FacilityA hospital or hospital-owned outpatient department$776$776 to $832

How much rates vary

Facilitymedian $776 · 10th to 90th $708 to $1,202Professionalmedian $2,884 · 10th to 90th $1,950 to $3,631
$200$500$1K$2K$5Kfacility $776professional $2,884

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,884.03
Typical High
$2,884.03
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$2,754.23
Typical High
$3,630.78
Anthem BCBS
Setting
Professional
Modifier
62 · Two surgeons
Typical Low
$1,148.15
Median
$1,737.80
Typical High
$2,290.87
Anthem BCBS
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$288.40
Median
$436.52
Typical High
$588.84
Anthem BCBS
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$257.04
Median
$380.19
Typical High
$512.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$707.95
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$2,570.40
Typical High
$4,168.69
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$812.83
Typical High
$1,202.26
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,884.03
Typical High
$3,548.13
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,884.03
Typical High
$2,884.03
United
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$812.83
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,019.95
Typical High
$3,715.35

Where Maine sits

The same service costs 5.8 times more in Alaska than in Texas. 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· 23rd of 51

$2,754

AK $7,762TX $1,349

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.