go back

Esophagus Repair for Birth Defect, Chest Approach

Wisconsin 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 $9,333 · 10th–90th $3,020$18,1970%10%10th90th$9,333Professionalmedian $3,890 · 10th–90th $2,570$11,7490%20%10th90th$3,890$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
$3,019.95
Median
$5,623.41
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,019.95
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$19,054.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$5,248.07
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$8,317.64
Typical High
$13,489.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$7,244.36
Typical High
$11,481.54
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$3,548.13
Typical High
$8,912.51
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$6,025.60
Typical High
$8,912.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$7,585.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$4,897.79
Typical High
$20,892.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$6,025.60
Network Health
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$5,623.41
Typical High
$9,772.37
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,090.30
Typical High
$5,370.32
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$6,309.57
Typical High
$9,772.37
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$17,782.79
Typical High
$17,782.79
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$12,882.50
Typical High
$20,417.38
Security Health
Setting
Professional
Modifier
Global
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93
Security Health
Setting
Professional
Modifier
Global
Typical Low
$8,709.64
Median
$11,220.18
Typical High
$13,803.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,370.32
Typical High
$20,892.96
United
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$4,073.80
Typical High
$10,471.29