go back

Repair of Tetralogy of Fallot

South 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?

$2,630

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $2,630 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $5,248 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$2,630$1,905 to $2,754
FacilityA hospital or hospital-owned outpatient department$5,248$2,630 to $16,596

How much rates vary

Facilitymedian $5,248 · 10th to 90th $2,630 to $22,909Professionalmedian $2,630 · 10th to 90th $1,905 to $5,012
$50$200$1K$5K$20Kfacility $5,248professional $2,630

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
$2,630.27
Median
$9,120.11
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,630.27
Typical High
$5,248.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,715.35
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,818.38
Typical High
$4,365.16
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,019.95
Typical High
$6,025.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,309.57
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,630.27
Typical High
$4,786.30

Where South 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.

South Carolina· 32nd of 51

$2,630

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.