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Esophagus Repair for Birth Defect, Chest Approach

Kentucky 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 $7,244 · 10th–90th $851$11,2200%20%10th90th$7,244Professionalmedian $2,884 · 10th–90th $2,399$3,9810%20%40%10th90th$2,884$50.0$200.0$1.0K$5.0K$20.0K

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
$851.14
Median
$3,548.13
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,884.03
Typical High
$3,630.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$10,715.19
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,818.38
Typical High
$3,890.45
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$3,090.30
Typical High
$4,365.16
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,388.44
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$4,786.30
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,890.45
Typical High
$16,595.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$4,168.69
Typical High
$28,183.83
United
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,311.31
Typical High
$5,248.07