go back

Conduit From Heart To Lung Artery Repair

North Carolina rates for HCPCS 33920

Open-heart surgery for a child born without a working connection between the pumping chamber and the artery to the lungs, together with a hole in the wall between the pumping chambers. A tube graft is built in, or an existing one replaced, to carry blood from the ventricle out to the lung arteries.

Rates data updated July 2026.

How much does Conduit From Heart To Lung Artery Repair cost?

$2,692

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,692 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $3,090 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$2,630$1,778 to $4,365
FacilityA hospital or hospital-owned outpatient department$3,090$1,778 to $7,079

How much rates vary

Facilitymedian $3,090 · 10th to 90th $1,660 to $8,318Professionalmedian $2,630 · 10th to 90th $1,778 to $5,248
$1K$2K$5K$10K$20Kfacility $3,090professional $2,630

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
$4,365.16
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,137.96
Typical High
$5,128.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$4,265.80
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,818.38
Typical High
$4,786.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,691.53
Typical High
$4,265.80
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
$1,778.28
Median
$2,511.89
Typical High
$4,466.84
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$10,964.78
Typical High
$10,964.78
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$23,988.33

Where North Carolina sits

The same service costs 6.6 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.

North Carolina· 24th of 51

$2,692

CA $13,183WV $1,995

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.