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Repair of Tetralogy of Fallot

Tennessee 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?

$2,692

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $2,692 for this service. The price depends on where it is billed: about $2,754 from a physician practice, and about $2,570 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 5 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$2,754$2,188 to $3,467
FacilityA hospital or hospital-owned outpatient department$2,570$2,089 to $4,074

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,380 to $6,457Professionalmedian $2,754 · 10th to 90th $1,862 to $6,026
$100$500$2K$10Kfacility $2,570professional $2,754

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
$2,398.83
Median
$2,818.38
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,290.87
Typical High
$4,073.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,344.23
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,884.03
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,754.23
Typical High
$4,168.69
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$11,748.98
Typical High
$11,748.98
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$22,387.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,344.23
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,951.21
Typical High
$4,570.88

Where Tennessee 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.

Tennessee· 31st of 51

$2,692

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.