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Repair of Tetralogy of Fallot

New Hampshire 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?

$3,715

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $3,715 for this service. The price depends on where it is billed: about $4,074 from a physician practice, and about $1,096 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$4,074$2,951 to $5,623
FacilityA hospital or hospital-owned outpatient department$1,096$794 to $8,128

How much rates vary

Facilitymedian $1,096 · 10th to 90th $776 to $11,749Professionalmedian $4,074 · 10th to 90th $2,138 to $7,413
$500$1K$2K$5K$10K$20Kfacility $1,096professional $4,074

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
$2,398.83
Median
$2,398.83
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,137.96
Typical High
$2,137.96
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$10,471.29
Typical High
$19,952.62
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$4,265.80
Typical High
$8,128.31
Anthem BCBS
Setting
Professional
Modifier
62 · Two surgeons
Typical Low
$1,174.90
Median
$2,691.53
Typical High
$5,128.61
Anthem BCBS
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$295.12
Median
$676.08
Typical High
$1,318.26
Anthem BCBS
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$257.04
Median
$602.56
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$630.96
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$4,265.80
Typical High
$5,623.41
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$851.14
Typical High
$2,884.03
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,715.35
Typical High
$6,606.93
United
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$933.25
Typical High
$2,884.03
United
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$3,388.44
Typical High
$7,413.10

Where New Hampshire 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.

New Hampshire· 7th of 51

$3,715

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.