go back

Complete Repair Of Tetralogy Of Fallot With Conduit

North Carolina 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?

$2,951

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,951 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $3,388 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$2,884$2,042 to $5,012
FacilityA hospital or hospital-owned outpatient department$3,388$1,995 to $7,244

How much rates vary

Facilitymedian $3,388 · 10th to 90th $1,660 to $8,710Professionalmedian $2,884 · 10th to 90th $1,995 to $6,310
$100.0$500.0$2.0K$10.0Kfacility $3,388professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$5,011.87
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,290.87
Typical High
$5,370.32
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$5,011.87
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,235.94
Typical High
$5,495.41
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,090.30
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,818.38
Typical High
$5,248.07
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$12,302.69
Typical High
$12,302.69
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$21,877.62
Median
$21,877.62
Typical High
$21,877.62

Where North Carolina 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.

North Carolina $2,951 · 26th 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.