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Tying Off An Abnormal Vessel Connection Near The Heart

Missouri rates for HCPCS 33820

Closes a blood vessel connection between two major arteries near the heart that should have sealed itself shortly after birth, known as a patent ductus arteriosus. The surgeon closes it by tying it off with a suture and leaving it in place, rather than cutting through it, so blood again flows normally between the heart and the lungs. It is most often done in infants and children, though it can be done at other ages.

Rates data updated July 2026.

How much does Tying Off An Abnormal Vessel Connection Near The Heart cost?

$2,399

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $4,571 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$1,202$1,047 to $1,585
FacilityA hospital or hospital-owned outpatient department$4,571$2,754 to $6,026

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,698 to $10,000Professionalmedian $1,202 · 10th to 90th $933 to $2,884
$1K$2K$5K$10Kfacility $4,571professional $1,202

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
$1,174.90
Median
$3,890.45
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,174.90
Typical High
$2,884.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,677.35
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,230.27
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,000.00
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,348.96
Typical High
$2,398.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$2,238.72
Typical High
$14,454.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,621.81
Typical High
$11,748.98
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$5,370.32
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,479.11
Typical High
$2,570.40

Where Missouri sits

The same service costs 8.5 times more in California than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Missouri· 6th of 51

$2,399

CA $9,120WV $1,072

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.