# CPT 33405: Replacement of aortic valve, open, with prosthetic valve other than homograft

Medicare CPT 33405 pays $2,125.97 in a non-facility setting and $2,125.97 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,876.53 in Wisconsin to $2,678.21 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/33405-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Thoracic Surgery (Cardiothoracic Vascular Surgery)

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $2,125.97 |
| National facility | $2,125.97 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $2,678.21 | $2,678.21 |
| Florida | $2,443.02 | $2,443.02 |
| Illinois | $2,419.27 | $2,419.27 |
| New York | $2,361.29 | $2,361.29 |
| District of Columbia | $2,315.85 | $2,315.85 |
| New Jersey | $2,279.09 | $2,279.09 |
| Connecticut | $2,257.29 | $2,257.29 |
| Michigan | $2,234.55 | $2,234.55 |
| West Virginia | $2,211.09 | $2,211.09 |
| Maryland | $2,188.29 | $2,188.29 |
| Georgia | $2,172.93 | $2,172.93 |
| Massachusetts | $2,167.35 | $2,167.35 |
| Washington | $2,160.59 | $2,160.59 |
| New Mexico | $2,155.88 | $2,155.88 |
| Pennsylvania | $2,151.92 | $2,151.92 |
| Rhode Island | $2,130.28 | $2,130.28 |
| Puerto Rico | $2,125.88 | $2,125.88 |
| Virgin Islands | $2,125.88 | $2,125.88 |
| Montana | $2,125.30 | $2,125.30 |
| California | $2,103.53 | $2,103.53 |
| Louisiana | $2,102.75 | $2,102.75 |
| Texas | $2,102.73 | $2,102.73 |
| New Hampshire | $2,102.62 | $2,102.62 |
| Colorado | $2,097.72 | $2,097.72 |
| Delaware | $2,093.67 | $2,093.67 |
| Ohio | $2,089.75 | $2,089.75 |
| Missouri | $2,083.95 | $2,083.95 |
| Nevada | $2,070.75 | $2,070.75 |
| Oregon | $2,068.48 | $2,068.48 |
| Utah | $2,065.15 | $2,065.15 |
| Arizona | $2,064.11 | $2,064.11 |
| Kentucky | $2,048.03 | $2,048.03 |
| Hawaii | $2,046.86 | $2,046.86 |
| South Carolina | $2,042.00 | $2,042.00 |
| Wyoming | $2,039.30 | $2,039.30 |
| Virginia | $2,020.37 | $2,020.37 |
| Oklahoma | $2,003.81 | $2,003.81 |
| Maine | $1,981.58 | $1,981.58 |
| Mississippi | $1,976.85 | $1,976.85 |
| North Carolina | $1,975.69 | $1,975.69 |
| Vermont | $1,956.83 | $1,956.83 |
| Tennessee | $1,930.96 | $1,930.96 |
| North Dakota | $1,927.96 | $1,927.96 |
| Alabama | $1,925.43 | $1,925.43 |
| Indiana | $1,922.01 | $1,922.01 |
| Kansas | $1,917.73 | $1,917.73 |
| Idaho | $1,914.54 | $1,914.54 |
| South Dakota | $1,904.63 | $1,904.63 |
| Minnesota | $1,904.26 | $1,904.26 |
| Arkansas | $1,901.28 | $1,901.28 |
| Iowa | $1,886.98 | $1,886.98 |
| Nebraska | $1,884.22 | $1,884.22 |
| Wisconsin | $1,876.53 | $1,876.53 |

## Related codes

- 33016: Pericardiocentesis — https://www.med-reveal.com/rates/33016-cpt-fee-schedule
- 33017: Pericardial drainage with insertion of indwelling catheter — https://www.med-reveal.com/rates/33017-cpt-fee-schedule
- 33206: Insertion of permanent pacemaker, atrial — https://www.med-reveal.com/rates/33206-cpt-fee-schedule
- 33207: Insertion of permanent pacemaker, ventricular — https://www.med-reveal.com/rates/33207-cpt-fee-schedule
- 33208: Insertion of permanent pacemaker, atrial and ventricular — https://www.med-reveal.com/rates/33208-cpt-fee-schedule
- 33210: Insertion of temporary transvenous pacemaker — https://www.med-reveal.com/rates/33210-cpt-fee-schedule
- 33240: Insertion of implantable defibrillator pulse generator only — https://www.med-reveal.com/rates/33240-cpt-fee-schedule
- 33249: Insertion of implantable defibrillator with lead(s), dual chamber — https://www.med-reveal.com/rates/33249-cpt-fee-schedule

Commercial negotiated rates for 33405 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules