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Repair of Tetralogy of Fallot

Utah 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 $3,388 · 10th–90th $3,020$6,0260%20%10th90th$3,388Professionalmedian $3,020 · 10th–90th $1,995$5,7540%20%10th90th$3,020$50.0$200.0$1.0K$5.0K

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
$3,019.95
Median
$3,388.44
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,019.95
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,884.03
Typical High
$3,630.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$5,623.41
Typical High
$12,302.69
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,548.13
Typical High
$4,466.84
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$9,549.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$4,466.84
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,511.89
Typical High
$4,073.80