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Repair of Tetralogy of Fallot

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $3,020 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $4,266 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$2,455$2,239 to $3,162
FacilityA hospital or hospital-owned outpatient department$4,266$2,692 to $5,623

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,950 to $8,511Professionalmedian $2,455 · 10th to 90th $2,042 to $5,623
$1K$2K$5K$10K$20Kfacility $4,266professional $2,455

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
$1,778.28
Median
$3,890.45
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,344.23
Typical High
$5,888.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,511.89
Typical High
$4,073.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,995.26
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,754.23
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$2,951.21
Typical High
$11,481.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$3,235.94
Typical High
$22,387.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,884.03
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,951.21
Typical High
$5,128.61

Where Missouri 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.

Missouri· 24th 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.