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Repair of Tetralogy of Fallot

Washington 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 $4,467 · 10th–90th $2,455$17,7830%10%20%10th90th$4,467Professionalmedian $3,467 · 10th–90th $2,089$5,3700%10%10th90th$3,467$50.0$200.0$1.0K$5.0K$20.0K

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
$2,454.71
Median
$4,897.79
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,511.89
Typical High
$5,754.40
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,801.89
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,548.13
Typical High
$5,623.41
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$4,073.80
Typical High
$5,495.41
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$4,073.80
Typical High
$5,248.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,630.78
Typical High
$3,801.89
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,630.27
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,890.45
Typical High
$5,495.41
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,801.89
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,511.89
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,019.95
Typical High
$5,128.61
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,398.83
Typical High
$3,630.78