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Esophageal Birth Defect Repair, Infant

Alabama rates for HCPCS 43314

This service is a reconstructive operation on the esophagus - the tube connecting the throat to the stomach - to correct a birth defect, such as an abnormal connection between the esophagus and windpipe or a section of esophagus that did not form properly. It is typically performed in an infant shortly after the condition is diagnosed. The goal is to restore a normal, functioning connection between the throat and stomach.

Rates data updated July 2026.

How much does Esophageal Birth Defect Repair, Infant cost?

$3,236

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $3,236 from a physician practice, and about $3,548 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,236$2,884 to $4,677
FacilityA hospital or hospital-owned outpatient department$3,548$1,259 to $8,318

How much rates vary

Facilitymedian $3,548 · 10th to 90th $813 to $10,233Professionalmedian $3,236 · 10th to 90th $2,630 to $6,166
$500$1K$2K$5K$10Kfacility $3,548professional $3,236

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,258.93
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,235.94
Typical High
$6,165.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$8,709.64
Typical High
$11,481.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,466.84
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,890.45
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,819.70
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,162.28
Typical High
$5,248.07

Where Alabama sits

The same service costs 2.2 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alabama· 46th of 51

$3,236

MN $6,918KY $3,090

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.