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Repair of Tetralogy of Fallot

North Carolina 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?

$2,884

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,884 for this service. The price depends on where it is billed: about $2,754 from a physician practice, and about $3,311 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$2,754$1,950 to $4,074
FacilityA hospital or hospital-owned outpatient department$3,311$1,905 to $7,244

How much rates vary

Facilitymedian $3,311 · 10th to 90th $1,660 to $8,511Professionalmedian $2,754 · 10th to 90th $1,905 to $5,888
$1K$2K$5K$10K$20Kfacility $3,311professional $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
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$4,677.35
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,137.96
Typical High
$6,309.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,073.80
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,019.95
Typical High
$5,128.61
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,884.03
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,691.53
Typical High
$4,897.79
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$11,748.98
Typical High
$11,748.98
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$22,387.21

Where North Carolina 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.

North Carolina· 26th of 51

$2,884

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.