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Repair Of The Throat And Food Pipe Junction

Massachusetts rates for HCPCS 42953

Surgically repairs the area where the throat joins the esophagus, the tube that carries food down to the stomach. It is used when that junction has been torn, perforated, or otherwise damaged and has to be closed and reinforced.

Rates data updated July 2026.

How much does Repair Of The Throat And Food Pipe Junction cost?

$2,692

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $2,692 for this service. Most negotiated rates run $1,023 to $3,548.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,692 · 10th to 90th $794 to $5,129
$100.0$1.0K$10.0Kfacility $2,692

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
$977.24
Median
$3,388.44
Typical High
$5,623.41
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,089.30
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$741.31
Typical High
$1,380.38
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,318.26
Typical High
$3,311.31
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$2,511.89
Typical High
$4,677.35
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,089.30
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,511.89
Typical High
$4,265.80

Where Massachusetts sits

The same service costs 13.5 times more in Maine than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $2,692 · 22nd of 50
ME $12,303WV $912

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.