go back

Esophagus Repair for Birth Defect, Chest Approach

Illinois 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 $3,236 · 10th–90th $1,148$9,7720%10%20%10th90th$3,236Professionalmedian $3,162 · 10th–90th $2,570$6,9180%20%40%10th90th$3,162$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$1,148.15
Median
$3,235.94
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,090.30
Typical High
$5,248.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$33,884.42
Typical High
$66,069.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,890.45
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,801.89
Typical High
$6,309.57
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$5,754.40
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
$3,311.31
Median
$3,801.89
Typical High
$4,265.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,884.03
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,630.78
Typical High
$6,025.60