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Complete Repair Of Tetralogy Of Fallot With Conduit

Nebraska 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?

$3,715

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $3,715 for this service. The price depends on where it is billed: about $3,631 from a physician practice, and about $8,511 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$3,631$1,778 to $4,365
FacilityA hospital or hospital-owned outpatient department$8,511$6,918 to $14,454

How much rates vary

Facilitymedian $8,511 · 10th to 90th $3,388 to $25,119Professionalmedian $3,631 · 10th to 90th $1,778 to $10,233
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $8,511professional $3,631

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
$6,025.60
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,715.35
Typical High
$10,232.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$27,542.29
Typical High
$53,703.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,884.03
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,365.16
Typical High
$6,025.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,715.35
Typical High
$60,255.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$4,073.80
Typical High
$21,877.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,570.88
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,388.44
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,981.07
Typical High
$5,495.41

Where Nebraska 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.

Nebraska $3,715 · 13th 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.