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Neck Food Pipe Repair With Intestine Transfer

Illinois rates for HCPCS 43116

Removes a diseased section of the esophagus in the neck and replaces it with a short piece of the patient's own intestine. The transferred segment is sewn in at both ends, and its small artery and vein are reconnected to vessels in the neck under a microscope so that the transplanted piece stays alive.

Rates data updated July 2026.

How much does Neck Food Pipe Repair With Intestine Transfer cost?

$5,495

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $5,623 from a physician practice, and about $5,129 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$5,623$4,786 to $7,943
FacilityA hospital or hospital-owned outpatient department$5,129$1,862 to $7,762

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,148 to $9,772Professionalmedian $5,623 · 10th to 90th $4,467 to $10,965
$500$2K$10K$50Kfacility $5,129professional $5,623

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
$1,148.15
Median
$5,370.32
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$5,370.32
Typical High
$9,549.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$58,884.37
Typical High
$112,201.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$6,456.54
Typical High
$10,964.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$8,912.51
Typical High
$24,547.09
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$6,456.54
Typical High
$7,244.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,884.03
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$6,165.95
Typical High
$10,964.78

Where Illinois sits

The same service costs 2.3 times more in Minnesota than in Kentucky. 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.

Illinois· 28th of 51

$5,495

MN $10,965KY $4,786

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.