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Esophagus Repair for Birth Defect, Chest Approach

Iowa 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 $5,370 · 10th–90th $2,754$7,9430%10%10th90th$5,370Professionalmedian $3,890 · 10th–90th $2,570$15,1360%10%10th90th$3,890$100.0$500.0$2.0K$10.0K$50.0K

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
$4,677.35
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,630.78
Typical High
$15,135.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$6,309.57
Typical High
$7,943.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$5,248.07
Typical High
$19,054.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$5,128.61
Typical High
$20,892.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$6,309.57
Typical High
$7,943.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,623.41
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,897.79
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,073.80
Typical High
$7,585.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$6,025.60
Typical High
$6,606.93