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Neck Food Pipe Repair With Intestine Transfer

South Dakota 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?

$7,413

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $7,413 for this service. The price depends on where it is billed: about $7,943 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 7 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$7,943$4,786 to $10,471
FacilityA hospital or hospital-owned outpatient department$5,129$4,365 to $8,511

How much rates vary

Facilitymedian $5,129 · 10th to 90th $3,020 to $13,490Professionalmedian $7,943 · 10th to 90th $3,890 to $13,183
$2K$5K$10K$20Kfacility $5,129professional $7,943

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
$4,365.16
Median
$4,365.16
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,365.16
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$10,471.29
Typical High
$13,182.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,623.41
Typical High
$13,489.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$8,317.64
Typical High
$35,481.34
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$11,220.18
Typical High
$11,220.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$10,471.29
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$7,943.28
Typical High
$9,549.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$7,585.78
Typical High
$12,882.50
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$11,748.98
Typical High
$11,748.98

Where South Dakota 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.

South Dakota· 7th of 51

$7,413

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.