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Esophagus Repair for Birth Defect, Chest Approach

South Dakota 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 $4,169 · 10th–90th $2,344$6,7610%10%20%10th90th$4,169Professionalmedian $4,467 · 10th–90th $2,570$7,9430%10%10th90th$4,467$2.0K$5.0K$10.0K$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
$2,630.27
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,570.40
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$6,309.57
Typical High
$7,943.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,981.07
Typical High
$7,079.46
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,265.80
Typical High
$20,892.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$4,466.84
Typical High
$5,623.41
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
$2,691.53
Median
$4,365.16
Typical High
$7,244.36
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,918.31
Typical High
$6,918.31