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Esophagus Repair for Birth Defect, Chest Approach

Georgia rates for HCPCS 43313

Open surgery through the chest to repair or rebuild the esophagus in a patient born with a defect of this swallowing tube. This version does not include repair of an abnormal connecting passage (fistula).

Rates data updated July 2026.

Facilitymedian $4,571 · 10th–90th $1,072$10,0000%5%10th90th$4,571Professionalmedian $3,388 · 10th–90th $2,630$5,7540%10%20%10th90th$3,388$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,897.79
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,090.30
Typical High
$5,623.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$4,073.80
Typical High
$15,488.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$4,677.35
Typical High
$7,413.10
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$549.54
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,801.89
Typical High
$6,606.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,630.78
Typical High
$6,760.83
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$2,454.71
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,388.44
Typical High
$6,309.57