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Repair of Tetralogy of Fallot

Nebraska 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?

$3,715

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $3,715 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $8,511 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 7 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$3,548$1,778 to $4,898
FacilityA hospital or hospital-owned outpatient department$8,511$6,918 to $14,454

How much rates vary

Facilitymedian $8,511 · 10th to 90th $3,236 to $25,119Professionalmedian $3,548 · 10th to 90th $1,698 to $9,772
$2K$5K$10K$20K$50Kfacility $8,511professional $3,548

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
$6,025.60
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,548.13
Typical High
$9,772.37
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$27,542.29
Typical High
$53,703.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,754.23
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,168.69
Typical High
$5,623.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,715.35
Typical High
$57,543.99
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,801.89
Typical High
$22,387.21
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,365.16
Typical High
$6,025.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,388.44
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,801.89
Typical High
$5,248.07

Where Nebraska 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.

Nebraska· 10th of 51

$3,715

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.