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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.

Facilitymedian $3,311 · 10th–90th $1,660$8,5110%10%10th90th$3,311Professionalmedian $2,754 · 10th–90th $1,905$5,8880%20%10th90th$2,754$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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