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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 October 2026.

How much does Repair of Tetralogy of Fallot cost?

$2,818

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $2,818 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $3,020 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,630$1,950 to $3,020
FacilityA hospital or hospital-owned outpatient department$3,020$2,951 to $4,571

How much rates vary

Facilitymedian $3,020 · 10th to 90th $575 to $13,804Professionalmedian $2,630 · 10th to 90th $1,349 to $4,365
$200$500$1K$2K$5K$10Kfacility $3,020professional $2,630

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,162.28
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$3,019.95
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$2,754.23
Typical High
$3,630.78
Molina
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$1,778.28
Typical High
$5,623.41
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,818.38
Typical High
$4,466.84
Select Health
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Select Health
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$2,951.21
Typical High
$9,120.11
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$2,951.21
Typical High
$13,803.84
United
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,691.53
Typical High
$4,168.69

Where Utah 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.

Utah· 22nd of 51

$2,818

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.