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Repair of Tetralogy of Fallot

Texas 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.

Facilitymedian $3,311 · 10th–90th $794$10,4710%10%10th90th$3,311Professionalmedian $2,291 · 10th–90th $1,820$3,4670%20%40%10th90th$2,291$50.0$200.0$1.0K$5.0K$20.0K$100.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,715.35
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,187.76
Typical High
$3,019.95
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,548.13
Typical High
$3,801.89
Christus
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,691.53
Typical High
$4,365.16
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,630.27
Typical High
$4,786.30
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,754.23
Typical High
$3,235.94
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,513.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,630.27
Typical High
$4,897.79
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,691.53
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$2,238.72
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,238.72
Typical High
$3,388.44
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,778.28
Typical High
$2,398.83