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Repair of Tetralogy of Fallot

Virginia 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?

$2,512

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $2,512 for this service. The price depends on where it is billed: about $2,399 from a physician practice, and about $3,631 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 8 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$2,399$2,188 to $2,884
FacilityA hospital or hospital-owned outpatient department$3,631$2,399 to $7,079

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,995 to $11,749Professionalmedian $2,399 · 10th to 90th $1,820 to $4,169
$2K$5K$10Kfacility $3,631professional $2,399

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
$2,187.76
Median
$5,011.87
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,398.83
Typical High
$4,073.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$14,791.08
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,398.83
Typical High
$3,388.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,570.40
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,570.40
Typical High
$3,801.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,089.30
Typical High
$2,570.40
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,548.13
Typical High
$4,466.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,884.03
Typical High
$4,073.80
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,570.40
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,570.40
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,388.44
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,630.27
Typical High
$4,265.80

Where Virginia 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.

Virginia· 35th of 51

$2,512

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.