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Complete Repair Of Tetralogy Of Fallot With Conduit

Idaho rates for HCPCS 33697

Open-heart surgery in a child born with tetralogy of Fallot in which the pathway to the lung arteries is completely blocked. The hole between the two pumping chambers is closed, and a tube is placed from the right pumping chamber to the lung artery to create a route for blood to reach the lungs.

Rates data updated July 2026.

How much does Complete Repair Of Tetralogy Of Fallot With Conduit cost?

$3,162

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $3,162 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $4,467 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$2,884$2,570 to $3,890
FacilityA hospital or hospital-owned outpatient department$4,467$3,715 to $7,943

How much rates vary

Facilitymedian $4,467 · 10th to 90th $2,089 to $11,220Professionalmedian $2,884 · 10th to 90th $2,291 to $6,026
$50.0$200.0$1.0K$5.0K$20.0Kfacility $4,467professional $2,884

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,630.27
Typical High
$6,025.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$8,128.31
Typical High
$11,481.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,884.03
Typical High
$3,801.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,801.89
Typical High
$6,025.60
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,630.78
Typical High
$4,168.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,073.80
Typical High
$4,265.80
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$4,466.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$15,488.17
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,754.23
Typical High
$4,265.80

Where Idaho sits

The same service costs 5.9 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Idaho $3,162 · 21st of 51
CA $13,183WV $2,239

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.