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Repair of Tetralogy of Fallot

North Dakota 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?

$3,631

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $3,631 for this service. The price depends on where it is billed: about $3,715 from a physician practice, and about $1,905 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,715$3,162 to $4,266
FacilityA hospital or hospital-owned outpatient department$1,905$1,288 to $2,344

How much rates vary

Facilitymedian $1,905 · 10th to 90th $759 to $2,754Professionalmedian $3,715 · 10th to 90th $2,042 to $4,786
$100$200$500$1K$2K$5Kfacility $1,905professional $3,715

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
Facility
Modifier
None
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,089.30
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$3,981.07
Typical High
$4,897.79
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$3,801.89
Median
$4,786.30
Typical High
$5,888.44
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$2,238.72
Median
$2,818.38
Typical High
$3,388.44
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$316.23
Median
$398.11
Typical High
$489.78
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$2,398.83
Median
$3,019.95
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$3,890.45
Typical High
$5,495.41
Medica
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,905.46
Typical High
$3,235.94
Medica
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$3,548.13
Typical High
$4,073.80
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,288.25
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$3,548.13
Typical High
$4,265.80

Where North Dakota 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.

North Dakota· 9th of 51

$3,631

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.