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Complete Repair Of Tetralogy Of Fallot With Conduit

Kentucky 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?

$2,512

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $2,512 for this service. The price depends on where it is billed: about $2,239 from a physician practice, and about $5,370 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 6 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$2,239$2,188 to $2,951
FacilityA hospital or hospital-owned outpatient department$5,370$2,570 to $9,550

How much rates vary

Facilitymedian $5,370 · 10th to 90th $851 to $11,220Professionalmedian $2,239 · 10th to 90th $1,950 to $4,169
$100.0$1.0K$10.0Kfacility $5,370professional $2,239

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
$851.14
Median
$2,691.53
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,238.72
Typical High
$6,309.57
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,238.72
Typical High
$3,548.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,570.40
Typical High
$3,019.95
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,630.27
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,388.44
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$4,073.80
Typical High
$19,952.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$4,466.84
Typical High
$28,183.83
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,884.03
Typical High
$4,168.69

Where Kentucky 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.

Kentucky $2,512 · 41st 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.