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Esophagus Repair for Birth Defect, Chest Approach

Virginia 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 $2,754$19,4980%10%10th90th$4,169Professionalmedian $3,162 · 10th–90th $2,570$4,8980%20%10th90th$3,162$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$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
$3,090.30
Median
$5,011.87
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,090.30
Typical High
$3,715.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$19,054.61
Typical High
$26,302.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,715.35
Typical High
$5,754.40
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,090.30
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,388.44
Typical High
$5,370.32
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,090.30
Typical High
$5,128.61
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,073.80
Typical High
$6,309.57
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,630.78
Typical High
$5,623.41
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$6,025.60
Sentara
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$5,888.44
Sentara
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$3,019.95
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,162.28
Typical High
$5,370.32